Tell Us Your Story!Fill out this short form below. We'll contact you right away to listen to your questions and see if we can help! 1. About You 2. Your Requirements 3. Finish!First Name *Last name * Primary reason for wanting to speak to a Physiotherapist: *I'm having lower back, hip, and/or knee pain and/or dysfunction and want tips and advice I can use right away.I would love to know what’s wrong and how long it will take to ease.I’m not sure if Physiotherapy is right for me and talking to a Physiotherapist first would help me decide. What is your concern?: *Lower Back PainHip PainKnee PainHip or Knee Replacement SurgeryPelvic PainOther/Not sure where the pain is coming from What does it STOP you from doing?: * Next What is concerning you most?: *Not knowing what’s wrongNot knowing which exercises to do and which to avoidWondering if there are treatments that can help improve my pain or conditionWorried I may never get better How Long Have You Suffered Or Worried?: *I am looking to prevent problemsA Few daysLess Than 1 Month1 to 3 MonthsToo Long (Years)Since I had surgery The Main Goal You Would Like Us To Achieve For You: *I want to find out what’s wrongI want to stay active without worrying about making things worseI want to get active and need guidance so that I don’t injure myself or make things worseI want help managing my painI want to avoid surgery BackNext (Nearly Finished)So that we can arrange this Complimentary Phone Consultation, please tell us the following:Phone *Email * Your information is always secure with us.Approx. time to complete: 1 minute Previous Next Submit Δ