Only interested in dry needling? Fill out this short form. Get Started New Form 4 Name * First Name Last Name Email * Have you had dry needling before? * Yes No Do you have any bleeding disorders or take blood thinners (e.g., aspirin, warfarin)? * Yes No Are you currently pregnant or could you be pregnant? * Yes No Have you had a fever or illness recently? * Yes No Do you have any implanted devices such as a pacemaker, spinal stimulator, or joint replacement? * Yes No Are you scared of needles? * Yes :( No :) Location for needling? * i.e. hamstring, shoulder, bicep Purpose you are seeking needling? * i.e. reduce soreness, reduce pain, assist with swelling Thank you! We will get back with you as soon as possible to schedule your dry needling appointment.
