Please tell us...
Please Enter Your First Name
*
Primary Reason For Wanting To Sample Physical Therapy
*
I'm new to physical therapy and am not sure what to expect
I was let down by another physical therapist in the past and would like to see how good you are before I commit
I'm not sure if physical therapy can even help me
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
It's just easier for me doing it this way
Back
Next
Which is the area of concern?
*
Please select one
back
hip
pelvis
abdomen
thorax
TMJ
not sure
What Does It STOP You From Doing?
*
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 would be the one thing you would like us to achieve for you?
*
Ease pain
Ease stiffness
Stay active or involved in sporting activity
Avoid painkiller dependency
Find out what's wrong
Stay healthy and get better before problem worsens
Back
Next
So we can arrange this Complimentary Discovery Visit for you, please tell us:
Best Phone Number
*
Best E-mail
*
Click To Submit Your Inquiry >>
Should be Empty: