Do you have a herniated or bulging disc?

Yes

I'm not sure

What is your age?

60+

50-59

40-49

<40

Do you have an MRI of your spine (lumbar, cervical, thoracic)?

Yes

No

How long have you been dealing with your pain?

6 months

1-4 years

5-10 years

10+ years

Are you currently unable to walk and function as you wish (or have to modify the way you function?)

Yes

No

Have you gotten any of these surgeries done yet?

Discectomy or microdiscectomy

Laminectomy

Spinal Fusion

None of the above

Have you received any of the following? Check all that you've had.

Pain medication prescribed

Epidural/Cortisone shot

Physical Therapy

Traditional Chiropractic

None of the above

How ready do you feel to do something about your situation?

Somewhat ready

Very ready

I need something fast!

Non-surgical, non-invasive spinal decompression treatments are not fully covered by insurance. However, many affordable payment plans are available. Are you interested in a payment plan option?

Yes, i'm very interested in affordable payment plan options

No. I've been saving for this type of treatment and will not need a payment plan.

Payment Plan Options are available based on credit approval of the patient or a co-signer. Which best describes your credit?

(Excellent) 750+

(Good) 650-749

(Poor) 500-649

(Very Poor) Under 500

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