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Inquiry About Athletic Preparation Service
Board Certified Orthopedic Clinical Specialist
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Which activity are your preparing for
*
Racket Sports (Tennis, Squash, racquetball)
Field Sports (Soccer, Football, LAX)
Court Sports (Basketball, Volleyball)
Winter Sports (Ice skating, Skiing, Snowboarding)
Other:
Primary reason you're looking into Athletic Preparation?
*
I have an event approaching and I'm looking for a tune up
I want to improve myself so that I don't get injured this season
I'm looking to improve my performance, speed, power and agility
I have an injury I want to take care of before the season
It's just easier this way.
If you have pain, where does it hurt?
Choose
Neck/Upper back
Low back/Buttocks
Knee
Shoulder
Hip
Elbow
Wrist/Hand
Foot/Ankle
Athletic injury
Jaw/TMJ
What would be the #1 thing you would like us to achieve for you?
*
Your answer
Phone Number
Your answer
Best email Address
*
Your answer
What is the best time to reach you?
*
Time
:
AM
PM
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