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Female Health Assessment

Identify symptoms of hormone imbalance and other women's health problems with our 2 minute Female Health Assessment:

Rate symptoms you are currently experiencing on a 0-4 scale (none to very severe). This will help us develop an effective, individualized treatment plan for you!
Family Medical Clinic of Chubbuck (FMCC)
Dr. Scott R. Barlow, DNP
Specializing in Hormone Replacement Therapy for Women

*By submitting this survey you voluntarily consent to electronic transmission of the contact information and survey responses you provide, which may be personal in nature, for a member of the FMCC team to review. FMCC does not assume any liability with regard to the privacy of the information being provided through this online/electronic survey.
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