Apply for a FREE Discovery Session

Apply for a FREE Discovery Session

So that we can serve your specific needs, please fill our this form and tell us how we can help you. The more we know, the better we can help!
Name *

First Name Last Name
Phone Number *
Email Address *
Primary reason you want to speak with a specialist? *

I am in a lot of pain and need some tips that I can start using straight away I would love to know what's wrong and how long it will take to fix I am not sure if physical therapy is right for me and this would help me decide
Where does it hurt?

Lower Back Knee Shoulder / Neck Foot / Ankle Muscle Injury from Sports/Exercise Not Sure Where It Is Coming From
What does it stop you from doing? *
What is concerning you most? *

Dependency upon painkillers Not knowing what is wrong Fear of losing mobility or independence The risk of needing dangerous surgery
How long have you suffered or worried? *

Have not - this is prevention A few days 1-2 weeks 2-4 weeks 1-3 months Long enough Too long (years)
Main goal of using our services?

Ease Pain Ease Stiffness Get Active Stay Active Find Out What Is Wrong Avoid Pain Killer Dependency Stay Healthy Get Fixed BEFORE Pain Gets Worse
Where would you like to see us?

Mellwood East End
Best Time For A Call Back?

Before 10 AM After 5 PM Anytime
Should be Empty:

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