Phone Consult Request - Genesis Physio and Wellness

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Arrange Your Free (15 Minute) Telephone 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 or your child…The more we know, the better we can help…

Step 1 of 3 - Step 1: About You

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First Name*
Best Phone Number*
Best Email*

Primary Reason For Wanting To Speak With A Specialist*
- I am planning to get pregnant and would like to prepare my body for pregnancy
- I am pregnant and want to remain active and mobile through my pregnancy
- I delivered recently and would like to return to my previous activities
- I was let down by another physical therapist in the past and would like to see how good you are before I commit
- I'm not sure if physical therapy can even help me
- I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment
What Is Your Main Concern Or Problem*
- Pregnancy Related Issues
- Postpartum Care
- Low Back Pain
- Diastasis
- Urinary Incontinence
- Pelvic Girdle Pain
- Other Musculoskeletal Issues
What Does It STOP You From Doing?*

How Long Have You Suffered Or Worried?*
- A Few Days
- 1-2 Weeks
- 2-4 Weeks
- 1-3 Months
- Long Enough
- Too Long (Years)
What Is Your Main Concern?*
What Kind of Treatment Have You Already Received For…*
Best Time For A Call Back*
- Through The Day
- After 5 PM
- Anytime
Best Day For A Call Back **

Contact

1 on 1 specialty care in the comfort of your own home
2(832) 478-8060

Medical Disclaimer

All information on this website is intended for instruction and informational purposes only. The authors are not responsible for any harm or injury that may result. Significant injury risk is possible if you do not follow due diligence and seek suitable professional advice about your injury.

No guarantees of specific results are expressly made or implied on this website.

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