Fill out this form if you have questions about how we can help you! 
Preferred Times to be contacted (optional)
Preferred Method of Contact (Optonal)
I give permission to ETC to contact me for the purposes of this form and for marketing purposes. I understand that I may revoke this permission at any time.

Terms & Conditions: 

By submitting this form, I am acknowledging that I understand a consultation/screening call is not a formalized plan of care nor is it an assumption of care by ETC Physical Therapy, LLC. or its employees. I understand that this consultation/screening does not constitute a full and thorough evaluation from a Licensed Physical Therapist nor should it be construed as medical advice. I understand this consultation/screening is for educational purposes only, and I should schedule a formal evaluation from a Licensed Physical Therapist and/or a physician for specific medical advice.

Thanks for submitting!

Click here if you would like to get scheduled for a full evaluation!