Qualifying for Spinal Decompression

Are YOU a Good Candidate for our Non-Surgical Spinal Decompression Program?

Answer the questionnaire to find out…

No matter how long you’ve suffered from back and or leg pain, chances are our Spinal Decompression Therapy along with spinal stabilization and strengthening can eliminate the pain and get you back on your feet and back into an active lifestyle–all in a matter of weeks.

Please be assured that the information you provide is private, and will not be shared with anyone outside the clinic.

    Name:

    Email Address:

    Phone Number:

    Preferred Contact Method:

    Best Time to Contact:

    What was the Event that Caused the Pain?

    Do You have any Numbness or Tingling?

    Have You had Surgery for this Condition?

    Are You taking any Medications for this Condition?

    Is there any Weakness? Where?

    What have You tried in the Past for this Condition that hasn't worked?

    What is Your Pain Level?

    Are you Trying to Avoid Surgery?

    YesNo


    Don't take our word for it...Read what our patients have to say:

    "I have had low back pain for 10 years and I have had numbness and unbearable pain in my left leg for the past year. I am well on my way to recovery. I am finally able to start doing the things that matter most to me"

    - Robert D.

    “I have to say this place is awesome! I herniated my L2-L3 disc in two spots and was barely able to walk. I'm a week into my therapy here and now I'm able to stand straight and walk with hardly a limp.”

    - David I.

    “I started my treatments with Dr. Bowden and in 6 months I was free of all my lower back pain. I strongly recommend spinal decompression to anyone desiring true relief from any back pain.”

    - Renae H.

    "This place saved my life.
    I couldn't even walk when I came in the first day.
    Ruptured L4 and L5 needed surgery... 2 years later and doing great. Thank you Dr Bowden"

    - Edd W.