After filling out this form, you will receive a HIPAA-compliant medical questionnaire at the email address provided. To get the most out of your call, please complete the questionnaire carefully prior to your scheduled call.
This clinical call is informational only and is not a form of diagnosis. A final diagnosis can only be made after a full review of your medical history, including a physical exam. This review is generally completed in partnership with your current physician.
Our clinical team reviews new cases on Tuesdays and Thursdays each week. Please note that recent imaging (X-rays, MRI, or CT) is a required component of your medical record.
We value your privacy. Your information is protected.