Request An Appointment

Home
About Us
- Testimonials
Therapists
Services
Insurances
Contact Us
- FAQs
- Survey
Request An Appointment

Home
About Us
- Testimonials
Therapists
Services
Insurances
Contact Us
- FAQs
- Survey
Request An Appointment

REQUEST AN APPOINTMENT
(801) 967-6055

To request an appointment online, please complete the following sections and click "Submit". Our office will contact you within 1-2 business days. Please note that we can only respond to your request Monday-Friday during our business hours.

Online Appointment Request

* Indicates required field

Name: *

First

Last

Legal first and last name.

Phone Number: *

Please enter the best daytime telephone number at which we may contact you.

What is the best time of day to contact you via telephone? *

Email: *

Referring Doctor/Physician: *

Name of the doctor, nurse, physical therapist, or other health care provider who recommended our services.

Insurance: *

What is the primary insurance we would be billing?

Which body part/region will we be treating (check all that may apply)? *

Head/Headaches/Concussion Neck Shoulder Elbow Wrist/Hand Low Back Hip Knee Ankle/Foot Temporomandibular Joint (Jaw) Other

Submit

5547 South 4015 West, Suite 7, Taylorsville, UT 84129 Phone: (801) 967-6055 Clinic Hours: 5:30 AM - 7:00 PM

REQUEST AN APPOINTMENT​(801) 967-6055

Online Appointment Request

REQUEST AN APPOINTMENT
(801) 967-6055