Congratulations - You are one step closer to pain relief and moving easier ...

You are one step closer to pain relief and moving easier ...

Thank you for reaching out. I am happy to talk with you regarding your specific needs and goals.

I operate my practice a bit differently than most, and I refer to it as a Precise Private Practice which means I want to make sure I can give you precisely what you are looking for as a clinical outcome.

Please complete the questions below so that I may determine if I am the best therapist for you and your specific clinical needs and goals.

_____________________________________________________________________

Full Name*

E-mail*

Phone Number*

Did your doctor or someone else refer you to me, and do you have a prescription for care? (You don't need to have a referral ; we can still proceed with your request)*

I provide various therapeutic services for pain relief and improved movement. Are you looking for anything specific? (do you have any pain injuries or stiffness) and if so, how long have you been experiencing your symptoms?*

Do you know if you are looking for a single session or a program of some sort to resolve the issue(s) or accomplish a specific outcome?*

When are you available to speak by phone?