Consultation With Kanu Kaushik For PIASTM THERAPY
This form is to understand your requirements for PIASTM Therapy.

We will share this information with Kanu Kaushik (Senior Physiotherapist, and founder of PIASTM technique.)

We will share the venue for a detailed Assessment.

After An assessment, Personalised protocol is designed and delivered by Kanu Kaushik 




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Your Full Name *
Email  *
Mobile no. With country code *
Which Country are you located? *
How old is your child? *
Diagnosis of your child's condition?  *
Why are you looking for PIASTM Therapy? *
What is your major concern for your child? *
Are you planning for any surgical intervention? *
Can we connect with you through WhatsApp for further details? If yes, please share your whatsapp number  *
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