Speak With A PTSo we can serve your specific needs, please tell us how you want us to help…(it will take less than 30 seconds!) So That We Can Serve Your SPECIFIC Needs, Please Fill Out This 35 Seconds Form And Show Us EXACTLY How You Want Us To Help YOU… The more we know about you, the better we can help you… Full Name* Primary Reason For Wanting To Talk With A Specialist I'm in lots of pain and want some tips and advice I can start using straight away I would love to know what's wrong and how long it will take to ease I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide Where Does It Hurt?* Back Low Back Knee Leg Neck/Shoulder Foot/Ankle Hip Pelvic Region Arm/Wrist/Elbow Head/Jaw Headache/Migraines Muscle Injury From Sport/Exercise Not Sure Where It's Coming From What Does It Stop You From Doing?* What Concerns You The Most That Makes You Want To Consider Physical Therapy?* The Pain You Are Experiencing Not Knowing What's Wrong Want to Avoid Pain Killers & Medications Fear of Not Being Able to Stay Active The Risk of Needing Dangerous Surgery Concerns at No Sign of Improvement How Long Have You Suffered or Worried? Haven't - This is Prevention (Not Cure) A Few Days 1-2 Weeks 2-4 Weeks 1-3 Months Long Enough (4+ Months) Seems Like Too Long (Years) Main Goal Of Using Our Specialist Service Ease Pain Ease Stiffness Get Active Stay Active Avoid Painkillers Dependency Find Out What's Wrong Stay Healthy & Get Fixed BEFORE Pain Gets Worse So that we can arrange this Complimentary Phone Consultation for you, please tell us: Please Select A Location:* Oakland, CA Des Moines, IA San Diego, CA Phone* Email* Submit Marketing by ActiveCampaign