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Pain Questionnaire

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Download & Submit
the Pain Questionnaire

If you are suffering from chronic pain, feel free to complete this pain questionnaire and Dr. Sharma can review it and determine if he can treat your suffering:

  • Download the form below.
  • Print and fill it out at your convenience.
  • Scan or take a clear photo of the completed form.
  • Email it to: inquiry@sharmahandnerve.com or bring it to your appointment.
Click Here to Download

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