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Phone: (805) 934-0663
Home
About Us
Our Services
Red Light Therapy Bed
Massage
Blog
Contact
Phone: (805) 934-0663
Free Discovery Visit
Home
»
Free Discovery Visit
1
About you
2
Your needs
3
Finish!
Please Enter Your First Name
*
First Name
Primary Reason For Wanting To Sample Physical Therapy
*
I'm new to Physical Therapy and 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
Where Does It Hurt?
*
Please select one
Low back
Neck
Shoulder
Knee
Foot / Ankle
Leg
Hip
Arm
Hand
Wrist
How Long Have You Suffered Or Worried?
*
A Few Days
1-2 Weeks
2-4 Weeks
1-3 Months
Long Enough
Seems Like Too Long (Years)
What Would Be The One Thing You Would Like Us To Achieve For You? *
Please select one
Ease pain
Ease stiffness
Get active
Stay active
Avoid painkillers dependancy
Find out what's wrong
Stay healthy and get fixed BEFORE the pain gets worse
Please tell us where to contact you with the outcome of the Free Discovery Session application:
Phone Number
*
Best Email
*
After you press the gold button, please check your email account for an immediate message sent to you with further instructions.
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