• JLM Therapeutics LLC

    Client Intake Form
  • 1633 Fillmore Street, Suite 114

    Denver, Co 80206 | 720-935-9980

    www.jlmtherapeutics.com

  • Health Conditions

    Please check the category and mark any conditions plus list treatments for those conditions. Use the body diagram to mark areas of past physical ailments, injuries and surgeries as well as any muscle and/or joint pain, stiffness, numbness, tingling, swelling, bone breaks, sprains, strains, skin bruising, sensitivity, rashes, or infections
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