Ask About Cost and Availability (Fill out the form below) Instructions: Please Watch the Video Then Fill Out This 30 Second Form to Tell Us EXACTLY How You Want Us To Help YOU… The More We Know About You, the Better We Can Help You… Step 1 About you Step 2 Your Pain/Injury Step 3 Finish! 33% Please Enter Your First Name * Which Service Do You Need? * Physiotherapy Pelvic Health Physiotherapy Chiropractic Massage Therapy Orthotics Shockwave Preferred Location * In Clinic- In Person Virtual Online Preferred Day for Appointment * Please select one Monday Tuesday Wednesday Thursday Friday Preferred Time (We're open 8:30am - 6pm) * Please select one 8:30 AM 9:00 AM 9:30 AM 10:00 AM 10:30 AM 11:00 AM 11:30 AM 12:00 PM 12:30 PM 1:00 PM 1:30 PM 2:00 PM 2:30 PM 3:00 PM 3:30 PM 4:00 PM 4:30 PM 5:00 PM 5:30 PM Proceed to Next Step » Where Does It Hurt? * Please select one Lower Back Knee Shoulder/Neck Foot/Ankle Muscle Injury From Sport/Exercise Pelvic Pain Postnatal Back Pain Headaches/Migraines Hip Not Sure Where It’s Coming From What Does It STOP You From Doing? * What Concerns You Most? * Please select one Not knowing what's wrong Depending upon painkillers Losing mobility or independence The risk of facing dangerous surgery 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 select one Ease Pain Ease Stiffness Get Active Stay Active Avoid Dependency on Painkillers Find Out What's Wrong Stay Healthy and get Fixed BEFORE pain gets worse Next (Nearly Finished) » So we can rush the cost and availability of the service you have requested back to you, please leave us: Phone Number * Best Email * Click To Send Your Inquiry » 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.