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Request Auto Acupuncture Care
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What's your name? First and Last
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What’s your phone number?
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Can Sarah text you?
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Were you in a car accident and looking for Acupuncture to help heal your injuries?
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Are you working with an attorney for your car accident?
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If yes, who is your attorney and what is their phone number/contact info?
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If no, are you interested in Sarah referring you to an attorney?
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Who are the other providers you are seeing for your auto accident care? Name and contact number
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There are a few locations Sarah could see you at - which would you prefer? 
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What are the issues that you are dealing with that you would like addressed?
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What questions do you have for Sarah before we get started on treatment?
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How did you hear about Sarah?
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