Question 1 of 7

Where does it hurt? *

Knee

Shoulder

Elbow

Hip

Lower back

Somewhere else

Question 2 of 7

Has that joint ever been replaced? *

No

Yes

Question 3 of 7

What have you already tried? *

Physical therapy

Cortisone or steroid shots

Gel injections

Pain relievers most days

A surgeon said to wait or replace

Nothing yet

Choose all that apply.

Question 4 of 7

Do you have an MRI or X-ray of that joint from the last two years? *

Yes

No

Not sure

Question 5 of 7

If you're a good fit, how soon would you want to start? *

Within the next 30 days

In 1 to 3 months

I'm just looking into it for now

Question 6 of 7

Our office is in North Scottsdale. Can you visit us here? *

Yes, it's close

Yes, I'd make the drive

No, it's too far

Question 7 of 7

Treatment is self-pay, and we don't bill to insurance. Are you okay with exploring premium regenerative options beyond what insurance covers? *

Yes, that works for me

No, I only want what insurance covers

How can we reach you?

First name *

Last name *

Email *

Mobile phone *

ZIP code *

By continuing, you acknowledge that Orion Pain may contact you via email and SMS regarding this inquiry.

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