Skip to content

Inquire About Cost & Availability
Free Phone Consultation
Free Discovery Session

904-280-2002|info@mymanualpt.com

HOME
ABOUT
SERVICES
PATIENT INFO
WORKSHOPS
CONTACT

Free Discovery Session

Search for:

Free Discovery SessionSarah Mayhew2018-10-23T14:59:42+00:00

1About You

2Your Requirements

3Finish Up!

What Is Your First Name?*
First
Primary Reason For Wanting to Sample Physical Therapy?*
- I'm new to Physical Therapy and not sure what to expect
- I was let down by another Physical Therapist in the past and would like see how good you are before I commit
- I'm NOT sure if a Physical Therapist 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
- It's Just easier for me doing it this way
Where Is Your Pain?*
What Does It Stop You From Doing?*

What Is Concerning You Most That Makes You Want To Consider Physical Therapy?*
What Would Be The One Thing You Would Like Us To Achieve For You?*
How Long Have You Suffered Or Worried?*
- I haven't - this is prevention
- A Few Days
- 1-2 weeks
- 2-4 weeks
- 1-3 months
- Long Enough
- Too Long (Years)

Best Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
Best Email*

Δ

IPT – SOUTHSIDE
8761 Perimeter Park Blvd, Ste 105
Jacksonville, FL 32216
Phone: (904) 280-2002
Fax: (904) 567-6927
Email:info@mymanualpt.com

IPT – PONTE VEDRA BEACH
232 Canal Blvd, Unit 2
Ponte Vedra Beach, FL 32082
Phone: (904) 280-2002
Fax: (904) 567-6927
Email:info@mymanualpt.com

Privacy Policy | Injury Advice Disclaimer
Copyright 2023 Innovative Physical Therapy

Your Guide to End Jaw Pain

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
What concerns you most?*
Please enter the image as you see it below

Δ

How to Choose the Right Physical Therapist For You

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.

Δ

Your Guide To End Shoulder Pain

Shoulder Pain Guide

“Fill Out The Form To Get YOUR Special Report With All The Best Ways To End Shoulder Pain” (...It’s Currently FREE!) Leave Your Details And Get All This Advice NOW...

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
What concerns you most?*

Δ

Your Guide To End Neck Pain

“Fill Out The Form To Get YOUR Special Report With All The Best Ways To End Neck Pain” (...It’s Currently FREE!) Leave Your Details And Get All This Advice NOW...

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
What concerns you most?*

Δ

Your Guide To End Knee Pain

Knee Pain Guide

“Fill Out The Form To Get YOUR Special Report With All The Best Ways To End Knee Pain” (...It’s Currently FREE!) Leave Your Details And Get All This Advice NOW...

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
What concerns you most?*

Δ

Your Guide To End Back Pain

Back Pain Guide

“Fill Out The Form To Get YOUR Special Report With All The Best Ways To End Back Pain” (...It’s Currently FREE!) Leave Your Details And Get All This Advice NOW...

Name*
First Last
Email*
Phone*
*By submitting, you authorize Innovative Therapy Solutions, Inc. to send text messages with offers and other information. Message/data rates apply.
What concerns you most?*

Δ