Request a Discovery Visit

About You

First Name*

Primary reason for wanting to start with a Discovery visit?*

I'm NOT sure if Physical Therapy can even help me

I would like to know how I can benefit from doing Aquatic Therapy treat my condition

I am not sure where I want to receive Physical Therapy for my condition, and touring the facility would help me decide

I was let down by another Physical Therapist in the past and would like to see how good you are before I commit

I'd like to get a feel for what you can do to help me BEFORE I commit to a full evaluation

Where does it hurt?*

What Does It STOP You From Doing?*

Your Pain/Injury

What Is Concerning You Most?*

How Long Have You Suffered or Worried?*

I haven't - this is prevention, not sure

A few days

1-2 weeks

2-4 weeks

1-3 months

Long enough

Seems like too long (years)

Your main goal that you would like to achieve with us?*

Finish

Email*

Phone Number

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Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Comments

This field is for validation purposes and should be left unchanged.

Name*
Please Enter Your Name
Primary Reason For Wanting To Speak With A Specialist*
- I'm not sure if Physical Therapy is right for me and talking to a specialist first would help me decide
- I would love to know what's wrong and how long it will take to ease
- I'm in lots of pain and want some tips and advice I can start using right away
What is affected by your condition?*

What Does It STOP You From Doing?*
What Is Concerning You Most?*
How Long Have You Suffered or Worried?*
- I haven't - this is prevention, not cure
- A few days
- 1-2 weeks
- 2-4 weeks
- 1-3 months
- Long enough
- Seems like too long (years)

So that we can arrange this Complimentary Telephone Consultation for you, please tell us:
Best Time For a Call Back*
- Morning
- Afternoon
Phone*
Email*
Enter Email Confirm Email

About You

First Name*

Primary reason for wanting to start with a Discovery visit?*

I'm NOT sure if Physical Therapy can even help me

I would like to know how I can benefit from doing Aquatic Therapy treat my condition

I am not sure where I want to receive Physical Therapy for my condition, and touring the facility would help me decide

I was let down by another Physical Therapist in the past and would like to see how good you are before I commit

I'd like to get a feel for what you can do to help me BEFORE I commit to a full evaluation

Where does it hurt?*

What Does It STOP You From Doing?*

Your Pain/Injury

What Is Concerning You Most?*

How Long Have You Suffered or Worried?*

I haven't - this is prevention, not sure

A few days

1-2 weeks

2-4 weeks

1-3 months

Long enough

Seems like too long (years)

Your main goal that you would like to achieve with us?*

Finish

Email*

Phone Number

Optional

We will contact you shortly!

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Optional

Phone

This field is for validation purposes and should be left unchanged.

Name*
Please Enter Your Name
What days of the week are best?*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
- Saturday
Which time of day is generally best?*
- 8:00 AM to 12:00 PM
- 1:00 PM to 4:00 PM
What is affected by your condition?*

What Does It STOP You From Doing?*
What Is Concerning You Most?*
How Long Have You Suffered or Worried?*
- I haven't - this is prevention, not cure
- A few days
- 1-2 weeks
- 2-4 weeks
- 1-3 months
- Long enough
- Seems like too long (years)

Phone*
Email*
Enter Email Confirm Email

Name*
Please Enter Your Name
Primary Reason For Wanting To Speak With A Specialist*
- I'm not sure if Physical Therapy is right for me and talking to a specialist first would help me decide
- I would love to know what's wrong and how long it will take to ease
- I'm in lots of pain and want some tips and advice I can start using right away
What is affected by your condition?*

What Does It STOP You From Doing?*
What Is Concerning You Most?*
How Long Have You Suffered or Worried?*
- I haven't - this is prevention, not cure
- A few days
- 1-2 weeks
- 2-4 weeks
- 1-3 months
- Long enough
- Seems like too long (years)

So that we can arrange this Complimentary Telephone Consultation for you, please tell us:
Best Time For a Call Back*
- Morning
- Afternoon
Phone*
Email*
Enter Email Confirm Email

We will contact you shortly!

Evaluation

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Are You Ready To
Live Pain-Free?

We will contact you shortly!

Get Started Today

(713) 668-1818

Arrange Your Free Telephone Consultation With a Specialist

Tell Us More!

Help Us – Help You

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Request a Discovery Visit

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Evaluation

Quick Links

Are You Ready ToLive Pain-Free?

Arrange Your Free Telephone Consultation With a Specialist

Tell Us More!

Help Us - Help You

Step 1 of 3

We will contact you shortly!

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(713) 668-1818

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Live Pain-Free?