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Men's E.D. Care
Learn about E.D. Wave Care
Men's Erectile Dysfunction Score
Muscle & Joint Shock Wave
Heel Pain
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Plantar Fasciitis
Achilles Tendonitis
Knee Pain
Hip Pain
Low Back Pain
Shoulder Pain
Elbow Pain
Ankle Pain
MRI Review
What is MRI Review?
Start Your MRI Review
Payment MRI Review
Fill out form to best diagnosis your Elbow Pain
Health Insurance will not cover Muscle & Joint Wave Care.
Patients will pay out of pocket for Wave Care, by using Health Savings/ FSA,
debt card, Cash and credit card.
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Do you have a budget for Wellness Care
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No
Name
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First
Last
Cell Phone Number
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Text message
How do you want to be contacted?
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Text Message
Call
Have you had Elbow Pain that
Weakens
your grip?
Grip Strength will weaken with elbow pain.
*
Yes
No
I don't recall
Do you have any Elbow pain that keeps you from activity or work?
Pain in the elbow hurts worst during activity
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Yes
No
I don't know
How would you rate your Elbow pain?
How would you rate your pain?
*
1-3
3-4
5-6
7-8
8-9
10
Prefer not to say
Where do you feel Elbow Pain?
Inside of Elbow
Outside of Elbow
Inside of the elbow
*
Yes
No
Not Sure
Outside of Elbow
*
Yes
No
Not Sure
Submit
Home
Men's E.D. Care
Learn about E.D. Wave Care
Men's Erectile Dysfunction Score
Muscle & Joint Shock Wave
Heel Pain
>
Plantar Fasciitis
Achilles Tendonitis
Knee Pain
Hip Pain
Low Back Pain
Shoulder Pain
Elbow Pain
Ankle Pain
MRI Review
What is MRI Review?
Start Your MRI Review
Payment MRI Review