Request An Appointment

Request an Appointments

The Pain Treatment & Wellness Center looks forward to adding you to our list of satisfied patients/clients. To schedule an appointment, use the provided form below or please call 724-853-2353.

   
Name*
Address
City & State
Telephone
Email*
Type of Patient* New Patient Current Patient
Type of Service* Trigger Point Therapy Massage Therapy
Type of Appointment* Follow-Up New Condition (describe below)
   
If a you are requesting a visit to The Pain Treatment & Wellness Center regarding a new condition you are experiencing, please describe it to the best of your abilities
   
Desired Appointment Date*
Desired Appointment Time*

Desired Location*


   
 
* required