Contact ABLE 2 Physiotherapy 0800 048 8731
07869 139 088
Address:
Haigh Lea therapy Rooms
22 Whitefield Road
Sale
Manchester
M33 6NZ
Freephone:
0800 048 8371
Mobile:
07869 139 088
Please fill out the form below and I will reply to you as soon as I receive your online booking / enquiry.
By leaving your details you will automatically receive
50% off your initial assessment
making it only
£30
.
Thank you! I will contact you as soon as I receive your information. Vickie Cork.
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What are you currently suffering with? Please select from list below
Sciatica
Whiplash
Arthritis
Back Pain
Neck Pain
Shoulder Pain
Knee Pain
Sprain / strain
Sports Injury
Post - op Joint Replacement
Postural Analysis / Dysfunction
Muscle Spasm
Stiffness
Other
If other please specify:
Do you need Neurological Physiotherapy?
Yes
No
If yes, please select your condition from the list below
Multiple Sclerosis
Parkinsons Disease
Stroke
T.I.A
Ataxia
Spinal Injury /Spinal Cord Lesion
Head Injury
Other
If other please specify:
Do you require a Home Visit?
Yes
No
If you would like to add any further information or submit a query please use this space:
Do you have a date you would like prefer to have the appointment on?
Morning or afternoon?
AM
PM
Name:
Address:
Telephone Number:
Email Address: