Take this 30-second quiz to see if you qualify for a
$47
Pain Relief Session.
How long have you been experiencing pain?
*
Just Recently
0-6 Months
6-12 Months
More Than 12 Months
Where are you experiencing pain?
*
What is this pain preventing you from doing?
*
How old are you?
*
18-24
25-49
50-64
65 & older
What type of insurance do you have?
*
Humana
Cigna
Anthem
None of the above
No Insurance
Unfortunately, we do not accept your insurance at this time, would you interested in our cash based services?
*
Yes
No
Are you willing & able to invest in your health & wellness?
*
Yes
No
What's your full name?
*
What's your email?
*
What's your phone number?
*
