Primary Reason For Wanting To Try Our Discovery Visit: Find Out What's Wrong.
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I'm new to Physical Therapy and not sure what to expect
I was let down by another Physical Therapist in the past and would like see how good you are before I commit
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
I like to know what's wrong, what you would recommend, and from there, I'll decide how to best proceed
One of my friends/family recommended you but I wanted to see it for myself first before I decide to move forward
Where Does It Hurt?
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Please Select
Neck/shoulder
Mid back
Low back
Multiple body parts/areas
Not sure where it's coming from
What Does it STOP you from doing?
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What Is Concerning You Most That Makes You Want To Consider Physical Therapy?
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Please Select
Not knowing what’s going on
Afraid of losing my mobility and independence
Do not want to rely on painkillers to ease my pain
The possibility that I need surgery
How Long Have You Suffered Or Worried?
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Please Select
1-2 weeks
2-4 weeks
1-3 months
3-6 months
>6 months
What Would Be The One Thing You Would Like Us To Achieve For You?
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To get back to doing what I love
To Avoid relying on painkillers
To find out what’s wrong
To get fixed BEFORE pain gets worse
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Please tell us where to contact you with the outcome of the virtual discovery visit:
Name
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First Name
Last Name
Phone Number
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Email
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example@example.com
Best Time For A Call Back
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Morning
Afternoon
Evening
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