Let's explore how to reach pain free

What type of back pain are you experiencing? (Please check all which apply) *

What should we call you?

First Name *

Last Name *

How can we contact you?

Email *

Phone *

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I consent to receive promotional sms communications from Peak Wellness regarding this promotion. Message & data rates may apply. You can reply STOP to unsubscribe at any time.

So our doctor's can understand how to best help you, please check any of the following which describe your situation. *

Have had spinal fusion surgery within the last 3 years.

Currently have hardware from a spinal surgery fixed to your spine

Currently undergoing cancer treatment or have tumors in the area of your pain

Have implanted medical devices near the area of your pain

Have severe osteoporosis with instability

Taking one of the following medications: Marcumar, Heparin, Coumadin

None of the above apply

Where are you located so we can match you with a provider in your area?

State *

City *

Postal code *

And finally...

Is there anything else you want to tell us or think we should know about your back pain or how it is affecting you?

Mainstream medicine & insurance make more profit by covering treatments like injections & surgeries. These rarely work. - Our treatments are scientifically shown to effectively treat the root cause and heal people. Therefore, insurance won't pay for it. Pricing is extremely competitive but it won't be covered by insurance. Do you understand insurance is not an option in most cases? *

Yes