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Basic Information
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Other Conditions
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Reason for Seeking
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Counseling and Psycotherapy
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Current Health
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Light sensitive
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Sleep
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Head or Neck Injury
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Chronic Health Problems
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Hormones
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Moods and Emotions
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Medications, Supplements, and Vitamins
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Allergies
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Substances
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Anxiety/Depression
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Attention and Learning
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New Short Text Field
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Additional
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