Contact Dr. Nick D’Agostino PT, DPT

Please complete the form below

Name

First Name

Last Name

Phone Number

Service you're interested in:

In-Person Physical Therapy

Online Rehab Coaching

Age

What is your profession?

Please provide a description of what you think is going on. Include when it started, body parts affected, trigger movements /activities, if you have pain at rest, and if the issue causes you to alter activities and move differently.

Do you have any pre-existing conditions I should be aware of?

Are you currently taking any medications or supplements? If yes please list them below.

Has this issue occurred previously?

What have you done previously and/or currently doing for this issue?

Have you seen another provider for this issue? If so, what did they tell you about your issue and did the treatments they provided help?

What has your current training/exercise regime looked like recently (last 3-6 weeks) and have you made any changes to it? Please be as detailed as possible including number of training days, exercises, sets, reps, load, recovery days/methods, etc.