Microsoft Word - Keays Medical Group

Disc Degeneration (Jaw clenching) Dizziness / Vertigo. Bone Spurs Double Vision Facial Numbness or Pain. Rheumatoid Arthritis Weakness Multiple Sclerosis. Ankylosing Spondylitis Other: Medical / Artificial Implants / Previous Bone Fractures . If yes, please list: ................
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