Arrange Your FREE (15 mins) Telephone Consultation with A Doctor of Physical Therapy

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So that we can meet your SPECIFIC needs, please fill out this 30 seconds form and show us EXACTLY how you want us to HELP you...The more we know about you, the better we can help YOU...

Email *

Please Enter Your Last Name *

Please Enter Your First Name *

Primary Reason For Wanting To Speak With A Specialist *

I'm in lots of pain and want some tips/advice I can start using right away

I would love to know what's wrong and how long it will take to ease the pain

I'm not sure if Physical Therapy is right for me and talking to a specialist first would help me decide

I would like a second opinion

Other:

Where Does It Hurt? *

What Does It STOP You From Doing? *

What Is Concerning You Most? *

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

Too Long...(years)

Main Goal Of Using Our Specialist Service *

Best Time For A Call Back *

6am-9am

9am-12pm

12pm-3pm

3pm-6pm

6pm-9pm

Anytime

Option 7

So That We Can Arrange This Complimentary Telephone Consultation For You, Please Provide Us a Good Number To Call. *

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