Discovery Session
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 straight away.
I would love to know what's wrong and how long it will take to ease.
I'm not sure if physical therapy is right for me and talking to a physical therapist first would help.
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Where is your pain or stiffness?
*
Low Back
Shoulder/Neck
Knee
Hip/Thigh
Foot/Ankle
Headache
Muscle Strain
Post-natal Pain
How long have you suffered or worried?
*
Haven't (this is prevention, not a cure)
A few days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Too long (years)
What is your main goal that you would like us to help you achieve?
*
Ease pain
Ease stiffness
Get active
Stay active
Avoid painkiller dependency
Find out what's wrong
Stay healthy and get fixed BEFORE pain gets worse
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Please tell us where to contact you with the outcome of the Free Discovery Session application:
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Submit
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