Where is your pain located? (Select all that apply)
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Knee
Back
Hip
Shoulder
Other
What have you already tried to manage the pain? (Select all that apply)
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π€ Rest
π Medications
π€² Physical therapy
π Injections
𦡠Bracing/support
πββοΈ Chiropractic care
π€· Nothing yet
Our regenerative treatments begin at $4,000 per joint. If you're a good candidate, would you be prepared to invest in a solution designed to improve your long-term joint health?
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π Yes, Ready to invest
π€ Yes, and I would like to explore the financing options
Not at this time
I understand that regenerative treatments are not covered by insurance at this current time
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π Yes
Are you willing to travel to Lake Worth, FL, for your treatment if you live outside the area?
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π Yes, definitely
I am local to the area
Not at this time
If youβre a suitable candidate, how soon would you like to begin treatment?
β‘οΈ Immediately
π Within 30 days
β³ 1-3 months
β Not sure yet
Full Name
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