Pain is a sensation that usually occurs as a response to an injury or illness. Pain can have a significant impact on your daily life therefore it's important to get the treatment that you need. Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.

To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.


Only a couple times a week or less if my pain is severe
Every day for less than two weeks
until my discomfort goes away
To keep long-term pain under control
do this every day for more than 2 weeks.

Presently Pregnant
Presently Breastfeeding
Planning on getting pregnant
Neither Pregnant nor Breastfeeding

Transmale (Born a female)
Transfemale (Born a male)

At least 72 hours
A week
A month
More than a month

Gentle pain
Tolerable Pain
Extreme pain

This is a one-time occurrence
Every day
Several days a week
Every Week
Every Month