Discovery Session - PhysioFit Physical Therapy & Wellness

Request A 30 Minute Physical Therapy
“Discovery” Visit (To See If You Like It…)

We'd love to offer you a Discovery Visit. So that we can serve your SPECIFIC needs, please fill out this 35 second form and show us EXACTLY how you want us to help YOU.... The more we know about you, the better we can help...

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Please Enter Your First Name *

Please Enter Your Last Name *

Primary Reason For Wanting A Discovery Visit *

Tell Us What's Happening *

What Does it STOP you from doing? *

What Is Concerning You Most That Makes You Want To Consider Physical Therapy? *

How Long Have You Been Concerned? *

What Is The Main Goal You Would Like Us To Help You Achieve? *

What Do You Value When Working With a PT? (Choose Any)

Anything Else We Should Know To Help You?

Please tell us where to contact you to schedule your Discovery Visit:

Best Email *

Phone Number *

After you press the button, please check your email account for an immediate message sent to you from Kim with further instructions.

All of your details are 100% safe with us.

*Note: there is no treatment given during our Discovery Visit. It’s for you to ask us more questions and for us to confirm whether or not we think we can help you.

PhysioFit serves clients who live and work in the South Bay Area
Los Altos • Mountain View • Sunnyvale • Cupertino • Palo Alto • Campbell • Santa Clara • San Jose

PhysioFit Physical Therapy and Wellness P: (650) 681-1854 • F: 650-947-8501 • 1000 Fremont Ave. #108, Los Altos, CA, 94024

Request A 30 Minute Physical Therapy “Discovery” Visit (To See If You Like It…)

Please tell us where to contact you to schedule your Discovery Visit:

Request A 30 Minute Physical Therapy
“Discovery” Visit (To See If You Like It…)