Welcome to The Disc Doctor

Elite Care for Complex Conditions

Begin Your Journey to Better Health Today

Before booking your appointment, please take a moment to complete our quick and complimentary survey.

This survey helps us determine if you qualify for one of our specialized programs.

Take the First Step Towards Better Health

Fill out the survey below and let our team guide you on the path to a healthier, pain-free life.

First Name *

Last Name *

Email *

Phone *

🔒 Your information will never be shared with third parties and we promise to never spam you.

By clicking SUBMIT, you agree that your information may be used to contact you.

Where is the source of your pain? Choose all options that apply. *

Headache

Neck

Back

Shoulder

Arms

Knee

Legs

Other

On a scale of 1-5, one being hardly any pain and five being unbearable, how would you rate your pain? *

How did the pain begin? Choose all options that apply. *

Accident at home

Vehicle accident

Accident at work/work related

It just began

After surgery

Came on gradually

Sports related

Other

How long have you been dealing with the pain or discomfort?

Less than 1 year

3-5 years

5-10 years

10+ years

Have you had any surgeries to your existing pain or any other pain condition?

Yes

How committed are you to fixing your pain TODAY?

Why Fill Out the Survey?

✧No Cost to You: Our survey is absolutely free.

✧Personalized Care: Your responses will help us tailor our recommendations to your unique needs.

✧Expert Review: Our team will carefully review your information and provide prompt feedback.