Please tell us...
Please Enter Your Name
*
First Name
Last Name
Primary Reason For Wanting To Speak With A Specialist
*
I'm in lots of pain and want some tips and advice I can start using right away
I would love to know what's wrong and how long it will take to ease my symptoms
I'm recently postpartum and want to know how to safely get back to my activities
I'm am expecting and want to know how to stay active and healthy throughout my pregnancy and prepare for childbirth
I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide
Back
Next
Where Does It Hurt?
*
Please select one
Back
Hip
Pregnancy
Postpartum Pain
Knee
Shoulder/Neck
Sports or Exercise Injury
Foot/Ankle
Wrist/Hand
Elbow
Not Sure Where It's Coming From
How Long Have You Suffered Or Worried?
*
A Few Days
1-2 Weeks
2-4 Weeks
1-3 Months
Long Enough
Too Long (Years)
What Concerning You The Most?
*
What Does It STOP You From Doing?
*
What Is Your Number One Goal?
*
Please select one
Ease pain
Ease stiffness
Stay active or involved in sporting activity
Find out what's wrong
Avoid worsening pain
Prepare for childbirth
Postpartum healing
Return to active lifestyle
Back
Next
So we can arrange this Complimentary Telephone Consultation for you, please tell us:
Best Time For A Call Back
*
Through The Day
After 5 PM
Anytime
Best Day For A Call Back
*
Please Select
Monday
Tuesday
Wednesday
Thursday
Friday
Best Phone Number
*
Best E-mail
*
Click To Submit Your Inquiry >>
Should be Empty: