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Fill out form to best diagnosis your Knee Pain
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Name
*
First
Last
Do you have a budget for Wellness Care
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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.
Cell Phone Number
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Text message
How do you want to be contacted?
*
Text Message
Call
Have you had trauma to your knee?
Have you had trauma by falling, twisting or injury to knee
*
Yes
No
I don't recall
Do you have any sounds of clicking or popping when you move your knee?
Knee popping or cracking sounds in knee
*
Yes
No
I don't know
How would you rate your knee pain?
How would you rate your pain?
*
1-3
3-4
5-6
7-8
8-9
10
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Where do you feel your knee pain? Click all that apply
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*
Front Knee
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*
Back of Knee
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*
Outside Knee
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*
Inside the Knee
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
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
Wrist Pain
