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Talk to An ExpertSarah Mayhew2018-10-17T00:22:39+00:00

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What Is Your First Name?*
First
Primary Reason For Wanting to Speak to a Physical Therapist?*
- I'm in lots of pain and want some tips and advice that can help me right away!
- I would love to know what's wrong and find out how long to resolve
- I'm not sure if this is right for me!
Where Is Your Pain?*
What Does It Stop You From Doing?*

What Concerns You Most About Your Problem?*
How Long Have You Suffered Or Worried?*
- I haven't - this is prevention
- A Few Days
- 1-2 weeks
- 2-4 weeks
- 1-3 months
- Long Enough
- Too Long (Years)
What Would Be Your Main Goal?*
Best Time For a Call Back?*
- Through the Day
- After 5pm
- Anytime

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JOHN GOETZE PHYSICAL THERAPY
1400 Marsh Landing Parkway, Suite 112
Jacksonville Beach, FL 32250
Phone: (904) 280-2001
Fax: (904) 245-1865
Email: info@manualpt.com

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