Request Phone Consultation Request Free Telephone Consultation 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… First Name * Last Name * What is your main reason for wanting to speak to a specialist? * Please select oneI'm in lots of pain and want some tips & advice I can start using right away.I would love to know what's wrong & how long it will take to solve it.I'm not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide. Tell us what's happening * Please select oneblocked milk ductelbow pain or stiffnessfoot/ankle pain or stiffnessheadachesjaw painknee pain or stiffnesslower back/hip pain or stiffnesslymphedema/swellingmid-back pain or stiffnessneck/shoulder pain or stiffnesspelvic floor issuesprenatal issuespostnatal issuessport injuryvertigo/ dizziness/ or balance disorderweaknesswrist/hand pain or stiffness What does it STOP you from doing? * Your main concern * Please select onePain you are experiencingWorrying over not knowing what's going onConcerns over no signs of improvementAvoid painkillersNot being able to keep active and do normal activitiesFuture ill health and wanting to prevent itOther How long have you been concerned * Please select onea few days1-2 weeks2-4 weeks1-3 monthsLong EnoughToo Long (Years) What is the main goal you would like us to help you achieve? * Please select oneease painease stiffnessincrease strengthimprove balanceget activestay activeavoid painkiller dependencyavoid surgerydiscover the source of the issuestay healthyget fixed before pain gets worse What do you value when working with a PT? (choose any) - ability to limit the return of pain- access to gym equipment- hands on care- home exercises to speed up recovery- natural treatments- one-on-one care Anything else we should know to help you? Best time for a call back * Please select oneDaytimeEvening (after 5 pm)Anytime Best Email * Best Phone * submit 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.