GOT QUESTION? TEXT MESSAGE TO 801-987-0335
Home
Men's E.D. Care
Men's Erectile Dysfunction Score
Learn about E.D. Wave Care
Muscle & Joint Shock Wave
Heel Pain
>
Heel Pain
Diagnosis Your Heel Pain
Plantar Fasciitis
Achilles Tendonitis
Knee Pain
>
Diagnosis Your Knee Pain
Knee Pain
Hip Pain
Low Back Pain
>
Diagnosis Your Back Pain
Low Back Pain
Shoulder Pain
>
Diagnosis Your Shoulder Pain
Shoulder Pain
Elbow Pain
>
Diagnosis Your Elbow Pain
Elbow Pain
Ankle Pain
>
Diagnosis Your Ankle Pain
Ankle Pain
Fill out form to best diagnosis your
Heel 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.
*
Indicates required field
Do you have a budget for Health Wellness Care
*
Yes
No
Name
*
First
Last
Cell Phone Number
*
Text message
How do you want to be contacted?
*
Text Message
Call
How would you rate your Heel 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 your Heel pain? Click all that apply
CLICK
*
BACK OF HEEL
UP THE ACHILLES TENDON
INTO CALF MUSCLES
CLICK
*
BOTTOM OF HEEL
SIDES OF HEEL
CLICK
*
IN FRONT OF HEEL
INSDIE OF HEEL
CLICK
*
INTO ARCH OF FOOT
INTO THE TOES
Submit
Home
Men's E.D. Care
Men's Erectile Dysfunction Score
Learn about E.D. Wave Care
Muscle & Joint Shock Wave
Heel Pain
>
Heel Pain
Diagnosis Your Heel Pain
Plantar Fasciitis
Achilles Tendonitis
Knee Pain
>
Diagnosis Your Knee Pain
Knee Pain
Hip Pain
Low Back Pain
>
Diagnosis Your Back Pain
Low Back Pain
Shoulder Pain
>
Diagnosis Your Shoulder Pain
Shoulder Pain
Elbow Pain
>
Diagnosis Your Elbow Pain
Elbow Pain
Ankle Pain
>
Diagnosis Your Ankle Pain
Ankle Pain
