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Which Service Do You Need?*

Physical TherapyDry NeedlingBothNot Sure

Where Does It Hurt The Most?*
What Does It STOP You From Doing?*
How Long Have You Suffered Or Worried?*

A Few Days2-4 Weeks1-3 MonthsToo Long (Years)
What do you value most when making your decision to choose a Physical Therapist? (check all that apply) *

Natural TreatmentsHands on care (example: massage, manual therapy, etc.)One-on-one careHome Exercises To Speed Up Your Recovery
The Main Goal You Would Like Us To Help Achieve For You*

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