Same Day Pain Relief864-953-7836
Schedule YourAppointment

DO YOU QUALIFY AS A CANDIDATE?

Take a quick 60-second survey below to see if you qualify for our Advanced Joint Pain Relief Program.

Fields marked with (*) are required.

What areas of your life are affected by the pain? Choose all options that apply.
Where is the source of your pain? Choose all options that apply.
Which side is more symptomatic
 Left
 Right
 Both
On a scale of 1-10, one being hardly any pain and ten being unbearable, how would you rate your pain?
1
6
2
7
3
8
4
9
5
10
How did the pain begin? Choose all options that apply.
Have you been diagnosed with a bone-on-bone condition?
Yes
No
Have you had any surgeries to your existing pain or any other pain condition?
Yes
No
Do you have any recent MRI or X-ray of the problem area?
Yes
No
Sex
Male
Female
Prefer not to say
Age
If you are considered to be a good candidate for our Joint Rejuvenation Therapy, how soon are you looking to receive therapy to decrease pain and restore function to your joint(s)?
 As soon as possible
 Next 3-6 Months
 Next 1-3 Months
 After 6 Months
PLEASE ACKNOWLEDGE THE FOLLOWING STATEMENT: I understand that insurance companies and Medicare do not cover joint rejuvenation therapies. Currently, it is viewed as a treatment "above" standard medically necessary care.
Yes
No
Contact Information

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please confirm
Submit This Evaluation Form

Affordable Patient Financing Options

Providing affordable patient financing options is important to us. That is why we offer Advance Care. Interest free periods of 6 to 14 months are available making financing more affordable than you might think. We offer flexible terms, low interest rates and great customer service. Let Advance Care help you look and feel better.

Apply NowStart Your First Treatment Today!

LOCATION

Joint Pain Relief Center
302 B Montague Ave.
Greenwood, SC 29649
Phone: 864-953-7836

OFFICE HOURS

Monday
9:00 am - 4:30 pm
Tuesday
9:00 am - 4:30 pm
Wednesday
9:00 am - 4:30 pm
Thursday
9:00 am - 4:30 pm
Friday
By Appointment
Saturday
Closed
Sunday
Closed

GET IN TOUCH

 Call For Help864-953-7836
Schedule YourAppointment
Privacy Policy   |  Terms of Service  |  Contact Us
Copyright © 2024 Joint Pain Relief Center formally Palmetto Clinics