Apply For A Free Discovery Visit

Please take a moment to fill out the form.

First Name

Phone

Main Reason for Wanting A Discovery Visit

I'm new to chiropreactic treatment and not sure what to expect

I was let down by a chiropractor in the past and I would like to see if you are a good fit for me before I commit

I'm not sure if chiropractic treatment can help

I'd like to see what chiropractic treatment can do for me before I commit

Last Name

Where Is Your Pain

Lower Back

Shoulder

Neck

Knee

Ankle/Foot

Muscle from sports injury

Not Sure

What Is Concerning You Most That Makes You Want To Consider Our Treatments?

The pain I'm experiencing

Worrying over not knowing what's wrong

Concerns over not seeing significant improvement

Avoiding painkillers

Staying Active

What Is The Main Goal That You Would Like Us To Help You Achieve?

Ease pain

Ease stiffness

Get active

Avoiding painkillers

Finding out what is wrong

What Does Your Pain Stop You From Doing?

*By Submitting, you authorize Kalamazoo Chiropractic & Rehabilitation to send text messages with offers and other information. Message/data rates apply. Consent is not a condition of purchase

Reach out today.

CONTACT

(269) 254-4606

dr.kopp@kalamazoochirorehab.com

3275 Cooley Ct. Suite 150

Portage, MI 49024

WORKING HOURS

Mon /Wed: 9pm-5pm

Tues/Thur/Fri: 7:30am - 1pm

Saturday: By Appointment Only

Sunday: Closed

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