Focus 4 Massage

Left Side of Neck

Comments

Right Side of Neck

Comments

Left Side of Upper Back

Comments

Right Side of Upper Back

Comments

Left Side of Mid Back

Comments

Right Side of Mid Back

Comments

Left Side of Low Back

Comments

Right Side of Low Back

Comments

Chest

Comments

Abdomen

Comments

Left Shoulder

Comments

Right Shoulder

Comments

Left Elbow

Comments

Right Elbow

Comments

Left Wrist

Comments

Right Wrist

Comments

Left Hand

Comments

Right Hand

Comments

Left Hip

Comments

Right Hip

Comments

Right Knee

Comments

Right Ankle

Comments

Left Foot

Comments

Right Foot

Comments

Left Arm

Comments

Left Knee

Comments

Left Leg

Comments

Right Leg

Comments

Right Arm

Comments

Left Ankle

Comments

Chronic Daily Headache

Comments

Cluster

Comments

Headaches

Comments

Migraines

Comments

Rebound

Comments

Sinus

Comments

Tension

Comments

Anemia

Comments

Bleeding Disorder

Comments

Haemophilia

Comments

Hepatitis

Comments

High Cholesterol

Comments

HIV

Comments

HIV/AIDS

Comments

Hypercoagulability

Comments

Polycythemia

Comments

Thrombosis/Embolism

Comments

Acute Coronary Syndrome

Comments

Aneurysm

Comments

Angina

Comments

Atherosclerosis

Comments

Blood Clots

Comments

Blood Pressure

High or Low

Cardiac Arrhythmia

Comments

Cardiovascular Accident

Comments

Cardiovascular Conditions

Comments

Chronic Ischemic Heart Disease

Comments

Chronic Venous Insufficiency

Comments

Cold Feet

Comments

Cold Hands

Comments

Congenital Heart Defect

Comments

Congestive Heart Failure

Comments

Coronary Artery Disease

Comments

Heart Attack

Comments

Heart Disease

Comments

High Blood Pressure

High or Low

Hyperlipidemia

Comments

Low Blood Pressure

Comments

Lymphedema

Comments

Myocardial infarction

Comments

Pacemaker

Comments

Pericarditis

Comments

Phlebitis

Comments

Raynaud Disease

Comments

Rheumatic Heart Disease

Comments

Valve Disorders

Comments

Varicose Veins

Comments

Acute Pancreatitis

Comments

Diabetes

Comments

Hyperthyroidism

Comments

Hypothyroidism

Comments

Pituitary and Growth Disorder

Comments

Prostate Condition

Comments

Arthritis

Comments

Cardiovascular

Comments

Respiratory

Comments

Celiac Disease

Comments

Constipation

Comments

Crohn's Disease

Comments

Diarrhea

Comments

Digestive Conditions

Comments

Diverticulitis

Comments

Eating Disorder

Comments

Esophageal Disorder

Comments

Fecal Impaction

Comments

Intestinal Polyps

Comments

Irritable Bowel Syndrome

Comments

Poor Appetite

Comments

Stomach Disorder

Comments

Ulcerative Colitis

Comments

Conductive Hearing Loss

Comments

Ear Problems

Comments

Hearing Loss

Comments

Meniere Disease

Comments

Motion Sickness

Comments

Tinnitus

Comments

Vertigo

Comments

Allergies

Comments

Anaphylaxis

Comments

Cancer

Comments

Hodgkin Lymphoma

Comments

Infectious Mononucleosis

Comments

Leukemia

Comments

Lupus

Comments

Non-Hodgkin Lymphoma

Comments

Rheumatoid Arthritis

Comments

Bladder Disorder

Comments

Chronic Kidney Disease

Comments

Congenital Kidney Disease

Comments

Electrolyte Imbalance

Comments

Kidney Stones

Comments

Renal Cysts

Comments

Urinary Incontinence

Comments

Urinary Tract Infection

Comments

Amyotrophic Lateral Sclerosis (ALS)

Comments

Ankylosing Spondylitis

Comments

Arthritis

Comments

Artificial Joints / Special Equipment

Comments

Bone Disease

Comments

Compartment Syndrome

Comments

Dislocation

Comments

Fibromyalgia

Comments

Fracture

Comments

Gout

Comments

Hereditary/Congenital Deformity

Comments

Jaw Pain (TMJD)

Comments

Joint Injury

Comments

Muscular Dystrophy

Comments

Myasthenia Gravis

Comments

Osgood-Schlatter Disease

Comments

Osteoarthritis

Comments

Osteomalacia

Comments

Osteoporosis

Comments

Paget Disease

Comments

Psoriatic Arthritis

Comments

Scleroderma

Comments

Scoliosis

Comments

Sinus Problems

Comments

Strain/Sprain

Comments

Tendonitis/Bursitis

Comments

Brain Disorder

Comments

Brain Injury

Comments

Burning

Comments

Cerebral Palsy

Comments

Cerebral Vascular Acciident (Stroke)

Comments

Cerebral-vascular Accident

Comments

Chronic Pain Disorder

Comments

Dizziness

Comments

Epilepsy

Comments

Herniated Disc

Comments

Huntington Disease

Comments

Loss of Sensation

Comments

Multiple Sclerosis

Comments

Numbness

Comments

Parkinsons

Comments

Sciatic Pain

Comments

Seizure Disorder

Comments

Shingles

Comments

Stabbing

Comments

Stroke

Comments

Tingling

Comments

Transient Ischemic Attacks (TIA)

Comments

Vertebral and Spinal Cord Injury

Comments

Breast Disorder

Comments

Ectopic Pregnancy

Comments

Endometriosis

Comments

Gynaecological Conditions

Comments

Menopause

Comments

Menstrual Cycle Disorder

Comments

Ovarian Cysts/Tumors

Comments

Pelvic Inflammatory Disease

Comments

Pregnancy

Comments

Premenstrual Syndrome

Comments

Uterine Disorder

Comments

Asthma

Comments

Bronchitis

Comments

Chronic Cough

Comments

COPD

Comments

Cystic Fibrosis

Comments

Emphysema

Comments

Infectious Respiratory Conditions

Comments

Respiratory Conditions

Comments

Respiratory Tract Infection

Comments

Shortness of Breath

Comments

Tuberculosis

Comments

Acne

Comments

Allergic Dermatosis

Comments

Athlete's Foot

Comments

Athletes Foot

Comments

Bruise Easily

Comments

Chemical Burn

Comments

Herpes

Comments

Hypersensitive Reaction

Comments

Hypersensitive Reactions

Comments

Infectious Skin Conditions

Comments

Melanoma

Comments

Melanoma/Carcinoma

Comments

Pigmentary Disorder

Comments

Plantar's Wart

Comments

Psoriasis

Comments

Rash

Comments

Rosacea

Comments

Skin Conditions

Comments

Skin Irritations

Comments

UV Burn

Comments

Insomnia

Comments

Mental Illness

Comments

Surgical Pins or Wire

Comments

Vision Loss

Comments

Vision Problems

Comments

Other Medical Conditions

Comments

Other Diagnosed Diseases

Comments

Patient Intake Form

Personal Information

Emergency Contact Information

Doctor Information

Conditions

Area of Complaint

Headaches

Blood

Cardiovascular

Endocrine

Family History

Gastrointestinal

Hearing

Immune

Kidney

Musculoskeletal

Neurological

Reproductive

Respiratory

Skin

Miscellaneous

Additional Information

Patient Summary