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APS Therapy; is it suitable for you?
Thank you for your interest in APS therapy
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1
Please enter your email
This is so we can identify your interest
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2
Do you have a long term condition or long term/recurrent pain
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(lasting longer than 3 months)
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3
My pain is: Intense spinal pain, mechanical back pain or NON - MS related nerve pain.
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4
Full Name
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First Name
Last Name
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5
Has the pain you wish to treat been investigated?
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6
What was the cause diagnosed as
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7
Can you reach your spine, feet and painful area OR do you have someone help you do so
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8
Do any of the following relate to you
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Epilepsy
Fitted with a heart pace maker
Cancer in the past 5 years
Suffered from a heart attack, stroke, deep vein thrombosis or pulmonary embolus in the past 3 months
Pregnant
None of the above
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9
Who did you hear about APS therapy from?
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