UA-120409986-1
Southlake, TX 817-912-1420
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Home
Services
Pelvic Floor Physical Therapy
>
Women's Health
Men's Health
Orthopedic Physical Therapy
Telehealth Physical Therapy
Video Running Assessment
Transition to Wellness
Pilates
Patient Info
What to expect
Rates & Insurance
COVID-19 Health and Safety Policy
FAQ
Inspired Living Blog
About
Meet the Team
Book An Appointment
Contact
Cost & Availability
Discovery Visit
Physician Corner
Pilates-Based Physical Therapy
Arrange Your FREE (15 min) Phone Consultation With A Physical Therapist
So that we can meet 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, the better we can help...
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Full Name
*
Email
*
Phone Number
*
Primary Reason For Wanting to Talk With a Specialist
*
I'm in pain and want some tips and advice I can use right away
I want to know what is wrong and how long it will take to ease pain
I am not sure if Physical Therapy is right for me and talking to a Physical Therapist first would help me decide
Where does it hurt?
*
What does it keep you from doing?
*
What concerns You The Most That Makes You Want To Consider Physical Therapy
*
The pain you are experiancing
Not knowing what is wrong
Want to avoid painkillers and medication
Fear of not being able to stay active
Risk of needing dangerous surgery
Concern at no sign of improvement
How long have you suffered or worried?
*
I haven't, this is for prevention
A few days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Too long (years)
Main Goal of Using our Specialist Service
*
Ease Pain
Ease Stiffness
Get Active
Avoid Painkiller Dependency
Find Out What Is Wrong
Stay HEalth And Get Fixed BEFORE Pain Gets Worse
Best Time For A Call Back
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Morning
Afternoon
Evening
Anytime
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