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Tele-HealthSarah Mayhew2020-04-02T22:20:30+00:00

Tell Me More About Tele-health

1About You

2Your Requirements

3Finish Up!

What Is Your First Name?*
First
Primary Reason For Wanting to Speak to a Physical Therapist?*
- I'm in lots of pain and want some tips and advice that can help me right away!
- I would love to know what's wrong and find out how long to resolve
- I'm not sure if this is right for me!
Where Is Your Pain?*
What Does It Stop You From Doing?*

What Concerns You Most About Your Problem?*
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)
What Would Be Your Main Goal?*
Best Time For a Call Back?*
- Through the Day
- After 5pm
- Anytime

So that we can arrange this Complimentary Telephone Consultation for you, please tell us:
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*

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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

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