Book a Free “Discovery” Visit

(to find out how we can help you)

Please Watch the Video and Then Fill Out This Form to Apply for Your Free Discovery Session. Hurry: These sessions are limited and given away on a first-come, first-served basis...

Step 1 About you
Step 2 Your Pain/Injury
Step 3 Finish!

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Please Enter Your First Name *

Which Service Do You Need? *

Physiotherapy
Pelvic Health Physiotherapy
Chiropractic
Massage Therapy
Shockwave
I'm Not Sure

Primary Reason for Wanting a Discovery Visit *

I'm new to Physiotherapy or Chiropractic and not sure what to expect
I was let down by another Healthcare Professional in the past and would like to see how good you are before I commit
I'm NOT sure if Physiotherapy or Chiropractic can even help me
I'd like to get a feel for what you can do to help me BEFORE I commit to a full appointment

Where Does It Hurt? *

What Does It STOP You From Doing? *

What Concerns You Most? *

How Long Have You Suffered or Worried? *

I Haven’t - this is prevention, not cure
A few days
1-2 weeks
2-4 weeks
1-3 months
Long enough
Seems like too long (years)

What Is the Main Goal You Would Like Us to Help You Achieve? *

Please tell us where to contact you with the outcome of the Free Discovery Visit application:

Phone Number *

Best Email *

Then please check your email account in the next 10 minutes for a personal reply from the Gage team.

All of your details are 100% safe with us.

1050 Upper Gage Ave, Hamilton, ON L8V 5B7, Canada
(289) 755-5502
[email protected]

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