First Name
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Last Name
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Pick your ideal day for an appointment
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Pick your ideal day for an appointment
Monday
Tuesday
Wednesday
Thursday
Friday
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Tell us the best time
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Where Does it Hurt?
*
Where does it hurt?
Back Pain
Shoulder Pain
Neck Pain
Knee Pain
Foot Pain
Ankle Pain
Muscle Injury from Sports/Exercise
Headaches
Migraines
Hip Pain
Elbow
Hand
Wrist
Jaw Pain
Not Sure Where It's Coming From
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What does it stop you from doing?
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What concerns you most?
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What concerns you most?
Depending upon painkillers
I don't know what's wrong
Fear of losing mobility or independence
The risk of needing invasive surgery
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How Long Have Your Suffered Or Worried?
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Haven't - this is prevention not cure
A Few Days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Too Long (Years)
Please tell us how long you have suffered/worried *
Main goal of using our specialist service
*
Main goal of using our specialist service
Ease pain
Ease stiffness
Get active
Stay active
Avoid Painkiller Dependency
Find Out What's Wrong
Stay Healthy and Get Fixed Before It Gets Worse
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Email
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Phone
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Inquire about Cost and Availability