Contact a Clinical

Prolotherapists

Hi there! How can we help you?

From here you can email our team directly with updates on how you are progressing since your last visit, request a prescription refill, leave feedback on your visit, schedule your next appointment, or reach out with other questions. We will should get back to you within the business day, based on the nature of your request.

If you have a more pressing matter, please call our office to get through to someone right away. If you need to reach us outside of normal business hours with an urgent concern, please call the number given to you by your clinical team member during your visit. The number is not to be used to make appointments or leave general feedback.

Thank you for being our patient. We look forward to serving you. Here’s to your health!

1. Contact Information:

First Name: *
Last Name: *
E-mail: *
Phone: *
Address:
City:
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Zip:
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2. Tell us a bit about your case:

Current diagnoses by another healthcare provider:
Primary medical concern you would like to inquire about: *
Current level of athletics and/or daily activities:
(ie: marathon training, manual labor, etc..)

3. How can we best serve you?

Are you looking for more information on our specialties?
I am interested in ProlotherapyI am interested in Stem Cell TherapyI am interested in Platelet Rich PlasmaI am looking for a potential alternative to surgeryI am interested in Digital Motion X-ray in Florida
Are you interested in an appointment?
Yes, at the Oak Park, Illinois officeYes, at the Fort Myers, Florida office
as soon as possiblewithin a couple weekswithin 1-2 monthsnot sure
Contact Preference:
Upon submitting this form, a Caring Medical team member will be assigned to your case. In order for them to best serve you, would you prefer they call or email you to answer any questions you might have?
Please call meI’d prefer email
How did you hear about us?
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Chicagoland Office
715 Lake St., Suite 600
Oak Park, IL 60301
(708) 393-8266 Phone
(855) 779-1950 Fax
Southwest Florida Office
9738 Commerce Center Ct.
Fort Myers, FL 33908
(239) 303-4069 Phone
(855) 779-1950 Fax Fort Myers, FL Office
We are an out-of-network provider.
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National Prolotherapy Centers specializing in Comprehensive Prolotherapy,
Stem Cell Therapy, and Platelet Rich Plasma.

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