Notice of Privacy Practices Acknowledgement Form
Headaches Dizziness Fainting spells Palpitations Stomach trouble No appetite Bowel disturbances Fatigue Can’t fall asleep Can’t stay asleep Restless sleep – not restful Nightmares Take sleeping pills Drink too much alcohol Use street drugs Feel tense Feel panicky/panic attacks Tremors Depressed Suicidal ideas Unable to relax Sexual ... ................
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