Free Online Consultation

For an assessment of your health problem, please complete the form below, making sure to describe your health issue in as much detail as possible. Our experienced therapists will get back to you by email within 1-2 business days with a detailed analysis of your problem. 

Your assessment:

  • is personally prepared by one of our therapists. It is not a computer-generated response
  • includes a description of our treatment recommendations and fees
  • may include lifestyle and diet recommendations that you can implement within your day-to-day life

Your Name (required)

Your Email (required)

What is your age group?
0-56-1011-1516-2021-3031-4041-5051-6060+

What are your physical symptoms? Please provide a detailed description

What are your mental and emotional symptoms? Please provide a detailed description

How long have you been experiencing these symptoms?

Do you have any prior illnesses? If so, please describe

Have you taken any medical tests? What was the result?

What is your weight group?

As an estimate, how many hours of exercise do you do per week? What type of exercise?

As an estimate, how many hours of work do you do per week?

Is there anything else you would like to add?

How did you hear about us?