Request An Appointment Name*Email Address*Confirm Email Address:*Phone Number:*Confirm Phone Number:*Message (Please include for which body part you will need care and what type of insurance you have.)*How did you hear about us?*DoctorGoogleFacebook/InstagramFriendWalk-InOtherConsent* By checking this box, you agree to receive text messages from Tender Loving Care Physical Therapy related to your appointment at this phone number provided above. You may STOP to opt-out at any time. Reply HELP for assistance. Messages and data rates may apply. Message frequency will vary. Learn more on our SMS Privacy Policy page and Terms and Conditions.