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Low Back Pain Guide
All Conditions
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Allen
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Home
About
Our Team
Conditions
Low Back Pain Guide
All Conditions
Locations
Allen
T-Shirt Store
Products
Blog
Schedule Now
Complimentary Discovery Session
Please complete the form below to reserve your complimentary discovery session with one of our providers:
Name
*
First Name
Last Name
Phone
*
(###)
###
####
Email
*
Primary Reason for Trial Appointment
*
I'm new to chiropractic and not sure what to expect.
I was let down by another chiropractor in the past and would like to see how good you are before I commit.
I'm not sure if chiropractic care can even help me.
I'd like to get a feel for what you can do to help me before I commit to a full appointment.
Preferred Location
*
Allen
Richardson
Which area is causing the most pain?
*
Lower back
Knee
Shoulder/Neck
Foot/ankle
Muscle injury from sport/exercise
Postnatal back pain
Not sure where it's coming from
What does your pain stop you from doing?
*
Sleeping
Walking
Exercising
Sitting
Social activities
Ability to work
Other
What is your main concern?
*
Dependency on painkillers
Not knowing what's wrong
Fear of losing mobility or independence
The risk of needing surgery
How long have you suffered or worried?
*
Haven't - this is prevention
A few days
1-2 weeks
2-4 weeks
1-3 months
Too long (years)
What is the one thing you would like us to achieve for you?
*
Ease pain
Ease stiffness
Get active
Stay active
Avoid painkillers
Find out what's wrong
Stay healthy and get fixed BEFORE pain gets worse
How will you be paying?
*
Cash/Card
Insurance
Thank you!
