First Name
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Last Name
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Main Reason For Wanting A Discovery Visit?
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I'm new to physical therapy treatment and not sure what to expect
I was let down by a physical therapist in the past and I would like to see if you are a good fit for me before I commit
I'm not sure if physical therapy treatment can help
I'd like to see what physical therapy treatment can do for me before I commit
Where is your pain?
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Lower back
Shoulder
Neck
Knee
Ankle/ Foot
Muscle from sports injury
Not sure
What Is Concerning You Most That Makes You Want To Consider Our Treatments?
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The pain I'm experiencing
Worrying over not knowing what's wrong
Concerns over not seeing significant improvement
Avoiding painkillers
Staying active
What Is The Main Goal That You Would Like Us To Help You Achieve?
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Ease pain
Ease stiffness
Get active
Avoid painkillers
Find out what is wrong
What Does It Stop You From Doing?
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Phone
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Email
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Submit
Consent For Receiving Texts
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By providing your phone number, you agree to receive text messages from PTI. Message and data rates may apply. Message frequency varies.