Have any questions?
480-657-0003
info@in-goodhealth.com
New Patients
Your Experience
How to Find Us
Intake Forms
New Patient Info
Specialties
Thyroid
Hashimotos
Graves Disease
Diabetes
Adrenal Disease
Hormone Replacement Therapy
Detox
Gut Health
Food Intolerances
Treatments
Anytime IV and IM Menu
Docs
Dr. Alan Christianson
Dr. Raquel Espinol
Dr. Emily Keranen
Dr. Roz Ranon
Store
Free
Blog
Podcast
Videos
Patient Portal & Appointment Login
Review of Symptoms – Your Labwork
Name
*
First
Last
Email
*
Phone
*
Do you have any of the following symptoms?
Please select all that apply in each category
General
Unexplained Weight Loss
Night Sweats
Fatigue/Lethargy
Abnormal Appetite
Fever
Itch/Rash
Recent Trauma
Lumps/Bumps/Masses
Unexplained Falls
Sleep Disturbance
Eyes
Changes in Vision
Headache
Eye Pain
Double Vision
Floaters
Ears/Nose/ Mouth
Runny Nose
Nose Bleeds
Sinus Pain
Stuffy Ears
Ear Pain
Ringing in Ears
Bleeding Gums
Toothache
Sore Throat
Pain with Swallowing
Heart
Chest Pain
Shortness of Breath
Exercise Intolerance
Fainting
Leg swelling
Palpitations
Lungs
Cough
Sputum
Wheezing
Coughing up Blood
Shortness of Breath
Intestines
Abdominal Pain
Unexpected Weight Loss
Difficulty Swallowing
Indigestion
Bloating
Cramping
Loss of Appetite
Nausea and Vomiting
Diarrhea
Constipation
Rectal Bleeding
Urinary
Difficulty Urinating
Frequent Bladder Infections
Visible Blood in Urine
Frequent Nighttime Urination
GYN
Early Menopause
Hot Flashes
Night Sweats
Abnormal Vaginal Discharge
Vaginal Pain
Heavy Menstrual Cycles
Unusual Change in Cycles
Musculoskeletal
Pain
Stiffness
Misalignment
Joint Swelling
Arthritis
Muscle weakness
Decreased Range of Motion
Breast
Breast pain
Breast soreness
Abnormal lumps
Abnormal discharge
Neurologic
Changes in hearing
Changes in taste
Sensation of pins and needles
Poor memory
Numbness
Difficulty with speech
Hormonal
Hair loss
Dry skin
Abnormal weight gain
Frequent urination
Dizziness
Unexplained high blood pressure
Patchy darkening of skin
Unexplained vaginal bleeding
Blood
Anemia
Easy bruising
Red dots on skin
Easy bleeding
History of blood transfusion
Refused for blood donation
Allergic
Insect allergy
Known Airborne allergy
Known food allergy
Hay fever
Share Health...
Facebook
email
Twitter
Chat with us
, powered by
LiveChat