Take this 30-second quiz to see if you qualify for a
FREE
Pain Relief Session.
How long have you been experiencing pain?
*
Just Recently
0-6 Months
6-12 Months
More Than 12 Months
Where are you experiencing pain?
*
What is this pain preventing you from doing?
*
How old are you?
*
18-24
25-49
50-64
65 & older
What type of insurance do you have?
*
BCBS PEBA
PAI
Blue Cross Blue Shield
United Health Care
Optum
Aetna
Medicare
Cigna
None of the above
No Insurance
Unfortunately, we do not accept your insurance at this time, would you interested in our cash based services?
*
Yes
No
Our cash packages start at $1500. Are you willing & able to invest in your health & wellness?
*
Yes
No
What's your full name?
*
What's your email?
*
What's your phone number?
*
