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Apply to Work With Dr. LeBlanc
LabWell Healthcare, LLC
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Email
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Your email
Full Name
Your answer
What is your age?
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<30
31-34
35-39
40-46
>47
Other:
Have you had a partial or full hysterectomy?
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Yes
No
Do you currently have an IUD?
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Yes
No
Are you Pregnant or Breastfeeding?
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Pregnant
May Be Pregnant
Breastfeeding
Neither
Have you been diagnosed with?
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PMS
PMDD
PCOS
Endometriosis
None of These
I don't have a formal diagnosis but I am pretty sure I have a Hormone Imbalance(s)
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