Discovery Session

Name *
Primary Reason For Wanting A Physical Therapy Discovery Session? *

I'm new to physical therapy and not sure what to expect I was let down by another physical therapist in the past and I would like to see if we are a good fit for each other before I commit I'm NOT sure physical therapy can help I'd like to see what physical therapy can do for me before I commit
Where Is Your Pain Or Stiffness? *
What Does It STOP You From Doing? *

What Is Concerning You Most? *
How Long Have You Suffered or Worried? *

A Few Days 1-2 Weeks 2-4 Weeks 1-3 Months Long Enough Way Too Long (Years)
Main Goal That You Would Like Us To Help You Achieve? *

Please tell us where to contact you with the outcome of the Free Discovery Session application:
Phone Number *

Area Code Phone Number
Best E-Mail *
Should be Empty: