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Our ability to draw effective conclusions about your present state of health and how to improve it depends, to a significant extent, on your ability to respond thoughtfully and accurately to these written questions and those posed by the clinician during your consultations. Health issues are usually influenced by many factors. Accurately assessing all the factors and comprehensively managing them is the best way to deal with these health challenges. Your careful consideration of each of the following questions will enhance our efficiency and will provide for more effective use of your scheduled consultation time. These questions will help to identify underlying causes of illness and will also assist us to formulate a treatment plan. Please complete at least 24 hours prior to first visit. This will allow Dr. Henninger the chance to review your case and prepare for your visit.
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Thank you,Dr. Maura Henninger
Please name this provider and ensure their contact information is provided in this section.
Please list any hospitalizations, surgeries, x-rays, CAT scans, MRI's, EEG's, EKG's or other procedures that you have have had.
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Unfortunately, abuse and violence of all kinds (verbal, emotional, physical and sexual) are leading contributors to chronic stress, illness and immune system dysfunction. Even witnessing violence and abuse can also be very traumatic. If you have experienced or witnessed any kind of abuse in the past, or if abuse is now an issue in your life, it is very important that you feel safe telling us about it, so that we can support you and optimize your treatment outcomes. Please do your best to answer the following questions:
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