Medical Care Chiro Minamiyono

■First medical examination：1,000yen

■Operation cost：4,000yen

Phone:048-829-7170

Interview Sheet  Please fill out the registration form.   Check on the list below.

□headaches　頭痛

□neck hurt　首が痛い

□jaw 顎

□stiff neck　肩こり

□shoulders ache　肩が痛い

□backache　背中が痛い

□slipped disc椎間板ヘルニア

□strained back　ぎっくり腰

□ hip hurt　腰が痛い

□pelvic correcting　骨盤矯正

□elbow joint　ひじ関節

□wrist　手首

□knee　hurt　膝が痛い

How long have you had problems?　いつからですか

□I had a MRI examination.　MRIを撮った

□I had an X‐ray examination.　レントゲンを撮った

□sprain　捻挫□sore　筋肉痛□neuralgic pains　神経痛