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Arrange your Free (15 Minute) Telephone Consultation With a Member of the Team
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Email
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Today's Date
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Please Enter Your First and Last Name*
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Your answer
So that we can arrange this Complimentary Telephone Consultation for you, please tell us:
Phone Number:
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Please Provide Your Mailing Address
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Your answer
Date of Birth
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Primary Reason for Wanting to Speak with a Specialist
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I'm in lots of pain and want some tips and advice that I can start using right away
I would love to know what's wrong and how long it will take to ease
I'm not sure if PT is right for me and talking to a PT first would help me decide
I'm very unsteady when I walk, and I want to know how I can avoid falling.
Where Does it Hurt?
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Lower Back
Hip/Knee
Shoulder/Neck
Foot/Ankle
Not Sure Where it's Coming From
I'm not in pain, but I keep losing my balance and falling
What is Concerning You Most?
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Dependency on Pain Killers
Not Knowing What's Wrong
Fear of Losing Mobility or Independence
The Risk of Needing Dangerous Surgery
Fearful of falling and ending up in the hospital or needing surgery
How Long Have You Suffered or Worried?
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Haven't - This is Preventative
A Few Days
1-2 Weeks
3-4 Weeks
1-3 Months
Long Enough
Too Long (Years)
Main Goal of Using Our specialist Service
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Choose
Ease Pain
Ease Stiffness
Get Active
Stay Active
Avoid Depending on Pain Killers
Find Out What's Wrong
Stay Healthy and Get Fixed BEFORE Pain Gets Worse
Move with confidence and without fear of falling
Best Time for a Call Back
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Between 8AM and 4PM
After 5PM
Anytime
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