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Migraine and Headache Questionnaire

migraine sufferer

migraine suffererIf you would like to apply to our Headache and Migraine Relief Program or to schedule a FREE phone consultation with Dr. Hagmeyer, please take a few minutes and fill out the short contact form below. It’s quick and easy!

You may have been disappointed with doctors when you were diagnosed with Migraines, or Headaches.

If you desire a natural treatment option that will offer significant relief from the pain, dizziness, nausea, caused by chronic headaches, migraines, cluster headaches, hormonal headaches, then please take a few minutes to fill out and submit this short form below.

For those patients accepted into our Headache and Migraine Relief Program we have an over 95% success rate in as little as 8 weeks. The doctors you have seen in the past may not have had answers for you, but we might!

This short Headache and Migraine contact form takes most people a few minutes to complete. This will help us understand a little more about your problem and if you would be a good fit for our Headache and Migraine Relief Program.

After you submit the form below, one of our New Patient Care Coordinators will contact you to schedule a free phone consultation.
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