Performance.

Recovery.

Physical therapy.

CALL OR TEXT TO SCHEDULE YOUR FREE ASSESSMENT!

423-534-4344

Accepting most major insurances!

Two locations!

Bristol TN and Johnson City TN.

Located in “The Club”

Take our assessment to speed up the process!

Intake

Name

First Name

Last Name

Age

Discuss the problem

Provide a short description of your injury? What type of injury/symptoms/ concerns? How and when did it occur? Pain level 1-10/10? List activities that increase symptoms? List activities that decrease symptoms? Describe your pain?

Is your injury caused by:

Select one:

If other...

please describe further:

Medical history

Select all that apply:

Recent or ongoing cancer

Recent or ongoing infection

Recent/ relevant surgery

None of the above

Additional Information: