• ATTUNE HEALTH

    Osteoporosis Clinic - New Patient Questionnaire Welcome to our clinic! Please complete this form along with a list of your current medications
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  • Please list any broken bones after the age of 40 by filling in the blanks

     

  •    Pick a Date   How did it happen?

  •    Pick a Date   How did it happen?

  •    Pick a Date   How did it happen?

  • Have you tried Fosamax?       When to when? . Why did you stop?

  • Have you tried Actonel?       When to when? . Why did you stop?

  • Have you tried Boniva?       When to when? . Why did you stop?

  • Have you tried Reclast?       When to when? . Why did you stop?

  • Have you tried Prolia?       When to when? . Why did you stop?

  • Have you tried Tymlos or Forteo?       When to when? . Why did you stop?

  • Have you tried Evenity?       When to when? . Why did you stop?

  • Do you exercise?           How many min per day? 
    How many days per week?      

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