Please fill out the information below in detail. Your privacy is important to us. Your information is delivered directly to Dr. Denny. We will contact you as soon as possible once your information is reviewed.
What is your main health concern(s)?
How long have you been suffering from this symptom(s) or condition(s)?
How did this condition(s) begin? (please explain)
What type of health providers have you visited for this condition(s)?
What medications or treatments are you using for this condition(s)? (please list)
What makes your condition(s) better or worse? (please explain)
Do you have any lab reports or imaging studies? (Please list them and bring them to your appointment)
Do you have any other symptom(s) or condition(s) you would like addressed?
Do you have additional information you would like to provide? (please explain)
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