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Patient Name Date SYMPTOMS OF SPINAL MISALIGNMENT QUESTIONNAIRE The nervous system controls and coordinates all organs and structures of the human body. (Grays Anatomy, 29th Ed., page 4). Misalignments.

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Although everyone gets sick from time to time, one of the common symptoms of spine misalignment is the frequent illness. This happens because the central nervous system, the main communication center between the body and immune system, is not receiving signals or is blocked.

Aches and Pains. Chronic pain is one of the symptoms of a misaligned spine. Depending on where the misalignment is, whether it's higher up the spine or in the lumbar region, it could cause headaches and neck and back pain. The spinal cord is a conduit between the brain and the nerves throughout the body.

The spine is part of the central nervous system, directly affecting immunity. If you're experiencing frequent colds and flu-like systems, it can be due to your spine being out of alignment.

slouched posture. reduced range of motion. decreased mobility. discomfort when sitting, standing, and laying down.

Having a misaligned spine can affect your general health and increase the risk of several chronic conditions. You may experience poor posture, decreased mobility, permanent joint deformities, respiratory problems, a reduced range of motion, and several other problems.

Possible signs that your spine is out of alignment include: chronic headaches. lower back pain. neck pain.

Pain, Chronic Headaches, and/or Fatigue Back pain, joint pain, chronic headaches, and fatigue are all symptoms of a misaligned spine. If you're experiencing one of these symptoms and it can't be explained by something else, your spine could be the root of the issue.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232