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Choosing the right therapeutic program is crucial for your health and well-being. By filling out our medical questionnaire, you can help us find the program that best suits your needs. We will carefully review your answers and provide you with personalized recommendations.  

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Medical Questionnaire

Please fill out the following form to help us understand your physical condition.

Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, or injury?
About your height
About your weight

Thanks for submitting!

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