Pain Relief, Physical Therapy, Revolutionary Techniques, Holistic, Pilates, Yoga, Reflexology

Video Visits

Buy VIDEO PT, ACUPRESSURE or HERBAL MEDICINE $95

Buy VIDEO PILATES $75 (1 Hour)

Buy VIDEO YOGA $50 (1 Hour)

Call (866) 960 9199 to make an Appointment.

For PT, Acupressure or Herbal Medicine, fill the Form below
SCREENING FORM

Name *

First

Last

Please Select one of the below

Phone Number to Callback *

Email *

Purchase Confirmation # *

Age

Gender

Occupation

Are you Working now?

Have you had Physical Therapy before?

Where is your Pain/Problem?

What caused your Pain/Problem?

Approximately when did it Start?

How is the Pain Now?

Have you ever had this Pain/Problem before?

Is your Pain Constant?

On a Scale of 1 to 10, what is your Worst Pain Level in the last few days?

Are you taking any Medication for this Pain/Problem?

Has this Medication helped?

Please List all the Medications you are taking

Are any of your Daily Activities affected?

List all Past Surgeries with Dates

List all Medical Conditions you have (or have been told you have)

Comment

Why Choose Us