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I am seeking medical advice from Miro Health, a provider of specialty neurological, psychiatric, and cognitive health care. I would like to share my personal health information with Miro Health so that I can receive their medical advice and care. I grant Miro Health permission to access and collect my personal health information, and I agree to their terms and conditions of care.
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What prompted your visit today?
(Please check all that apply)
Attention deficit (potential or diagnosed)
Balance and coordination problems
Buttoning clothes
Cancer-related cognitive impairment
Depression
Disorganization
Forgetfulness (misplacing items
Head injury / concussion / traumatic brain injury
Headache / migraine
Menopause-related cognitive impairment
Multiple sclerosis
Seizure disorder
Stroke / post-stroke
Speech or language impairment
Walking is a challenge
Other
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