1 on 1 Consultation Request
If you would like to schedule a 1 on 1 consultation with Dr. Joshua Bletzinger, DC please fill out the information below.
Consultation Guidelines
> A consultation visit is not a clinical evaluation or treatment visit.
> A consultation visit is not a guarantee of accepting your case.
> There is a charge of $70 that will be collected prior to your appointment.
Your Name *
Your answer
Your Phone Number *
Your answer
Your Email
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Performance Clinics. Report Abuse - Terms of Service