Your Path, Guided. Rapid Health Assessment Directions1. Complete the “Rapid Health Assessment.”2. We will contact You for a time to meet.3. discuss your unique path to recovery. Name * First Name Last Name Phone * (###) ### #### Email * How do you prefer us to contact you? * Phone Email What are you having difficulty with? * How long has this been a problem? * How have you tried to solve this problem? * Describe your current level of activity. * Have you had any concussions, car accidents, or surgeries? * Have you had repetitive or major injuries? (ex. repeated ankle sprains, fractures) * Do you have any diagnosed diseases? * Are you currently on any medication? * Thank you for completing our assessment. We will contact you shortly to talk about your unique case.I look forward to meeting with you to discuss your path. Talk to you soon,Keith
