So That We Can Serve Your SPECIFIC Needs, Please Fill Out This Form (it only takes 30 seconds) And Tell Us EXACTLY How You Want Us To Help YOU… The more we know about you, the better we can help you.

Primary Reason For Wanting To Talk With A Specialist
  • I'm in lots of pain and want some tips and advice I can start using straight away
  • I would love to know what's wrong and how long it will take to ease
  • I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide
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  • List is empty.
Where does it hurt?
  • Back
  • Low Back
  • Knee
  • Leg
  • Neck/Shoulder
  • Foot/Ankle
  • Hip
  • Pelvic Region
  • Arm/Wrist/Elbow
  • Head/Jaw
  • Headache/Migraine
  • Muscle Injury From Sports/Exercise
  • Not Sure Where It's Coming From
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  • List is empty.
What Concerns You The Most That Makes You Want To Consider Physical Therapy?
  • The Pain You Are Experiencing
  • Not Knowing What's Wrong
  • Want to Avoid Pain Killers & Medications
  • Fear of Not Being Able to Stay Active
  • The Risk of Needing Dangerous Surgery
  • Concerns at No Sign of Improvement
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How Long Have You Suffered or Worried?
  • Haven't - This is Prevention (Not Cure)
  • A Few Days
  • 1-2 Weeks
  • 2-4 Weeks
  • 1-3 Months
  • Long Enough (4+ Months)
  • Seems Like Too Long (Years)
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  • List is empty.
Main Goal Of Using Our Specialist Service
  • Ease Pain
  • Ease Stiffness
  • Get Active
  • Stay Active
  • Avoid Painkiller Dependency
  • Find Out What's Wrong
  • Stay Healthy & Get Fixed BEFORE Pain Gets Worse
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  • List is empty.

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