The Coach — Application
Complete this premium application so Dr. Fischer can review your case and determine next steps.
Applicant & Contact Information
Full Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Golf Location & Background
Where are you located?
*
Local to the Monterey/Carmel/Bay Area
Willing to travel/fly in
Not sure yet
Home club(s) or where you play
Current handicap
Condition & Treatment History
Describe your condition — what's keeping you off the course or limiting your game
*
How long has this been going on?
What have you already tried?
Physical therapy
Chiropractic
Cortisone/steroid injections
Surgery
Regenerative medicine/PRP/stem cell
Golf lessons
Other
Roughly how much have you spent trying to fix this so far?
Have you had any imaging done?
Yes — MRI
Yes — X-ray
Yes — both
No
Not sure
Readiness & Follow-Up
Are you open to in-person evaluation and possible regenerative orthobiologic treatment?
*
Yes
Maybe — I'd like to learn more
No
When it comes to getting back to pain-free golf, how much are you willing to invest in your body, your health, and your game?
*
Whatever my case requires — I want this fixed
$10,000 or more
$5,000–$10,000
Under $5,000
Just exploring for now
What's your timeline to get back in the game?
Best way and time to reach you
Submit Application
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