betterwaymedicalgroup.com
Open in
urlscan Pro
34.83.2.219
Public Scan
Submitted URL: http://betterwaymedicalgroup.com/
Effective URL: https://betterwaymedicalgroup.com/
Submission: On April 14 via api from US — Scanned from DE
Effective URL: https://betterwaymedicalgroup.com/
Submission: On April 14 via api from US — Scanned from DE
Form analysis
1 forms found in the DOMPOST /
<form method="post" enctype="multipart/form-data" id="gform_2" action="/" data-formid="2" novalidate="">
<div class="gform-body gform_body">
<div id="gform_fields_2" class="gform_fields top_label form_sublabel_below description_below">
<div id="field_2_23" class="gfield gfield--type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_2_23"><label
class="gfield_label gform-field-label" for="input_2_23">Where are you experiencing pain?</label>
<div class="gfield_description" id="gfield_description_2_23">Select multiple items if you have them</div>
<div class="ginput_container ginput_container_multiselect"><select multiple="multiple" data-placeholder="Click to select..." size="7" name="input_23[]" id="input_2_23" class="large gfield_select" aria-invalid="false"
aria-describedby="gfield_description_2_23" style="display: none;">
<option value="Fingers">Fingers</option>
<option value="Palm">Palm</option>
<option value="Wrist">Wrist</option>
<option value="Forearm">Forearm</option>
<option value="Elbow">Elbow</option>
</select>
<div class="chosen-container chosen-container-multi" title="" id="input_2_23_chosen" style="width: 916px;">
<ul class="chosen-choices">
<li class="search-field">
<input class="chosen-search-input default" type="text" autocomplete="off" value="Click to select..." style="width: 129px;">
</li>
</ul>
<div class="chosen-drop">
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</div>
<div id="field_2_24" class="gfield gfield--type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_2_24"><label
class="gfield_label gform-field-label" for="input_2_24">What symptoms are you experiencing?</label>
<div class="gfield_description" id="gfield_description_2_24">Select multiple items if you have them</div>
<div class="ginput_container ginput_container_multiselect"><select multiple="multiple" data-placeholder="Click to select..." size="7" name="input_24[]" id="input_2_24" class="large gfield_select" aria-invalid="false"
aria-describedby="gfield_description_2_24" style="display: none;">
<option value="Pain">Pain</option>
<option value="Numbness/tingling">Numbness/tingling</option>
<option value="Discomfort">Discomfort</option>
<option value="Waking up due to pain or discomfort">Waking up due to pain or discomfort</option>
<option value="Dropping items">Dropping items</option>
<option value="Burning sensation">Burning sensation</option>
<option value="Loss of motion">Loss of motion</option>
<option value="Lump or bump">Lump or bump</option>
</select>
<div class="chosen-container chosen-container-multi" title="" id="input_2_24_chosen" style="width: 916px;">
<ul class="chosen-choices">
<li class="search-field">
<input class="chosen-search-input default" type="text" autocomplete="off" value="Click to select..." style="width: 129px;">
</li>
</ul>
<div class="chosen-drop">
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</div>
<div id="field_2_4" class="gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_4"><label class="gfield_label gform-field-label"
for="input_2_4">How long have you been experiencing selected symptoms?</label>
<div class="ginput_container ginput_container_select"><select name="input_4" id="input_2_4" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select</option>
<option value="Days">Days</option>
<option value="Weeks">Weeks</option>
<option value="Months">Months</option>
<option value="Years">Years</option>
</select></div>
</div>
<div id="field_2_5" class="gfield gfield--type-select gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_5"><label class="gfield_label gform-field-label"
for="input_2_5">Have you previously been seen for the above selected symptoms?</label>
<div class="ginput_container ginput_container_select"><select name="input_5" id="input_2_5" class="large gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select</option>
<option value="Yes, but want 2nd opinion">Yes, but want 2nd opinion</option>
<option value="Yes, but it’s been over 90 days">Yes, but it’s been over 90 days</option>
<option value="No ">No </option>
</select></div>
</div>
<div id="field_2_25" class="gfield gfield--type-multiselect gfield--width-full field_sublabel_below gfield--has-description field_description_above gfield_visibility_visible" data-js-reload="field_2_25"><label
class="gfield_label gform-field-label" for="input_2_25">What treatments have you already tried?</label>
<div class="gfield_description" id="gfield_description_2_25">Select multiple items if you have them</div>
<div class="ginput_container ginput_container_multiselect"><select multiple="multiple" data-placeholder="Click to select..." size="7" name="input_25[]" id="input_2_25" class="large gfield_select" aria-invalid="false"
aria-describedby="gfield_description_2_25" style="display: none;">
<option value="Splinting">Splinting</option>
<option value="Injection from physician">Injection from physician</option>
<option value="Therapy">Therapy</option>
<option value="Creams or medications">Creams or medications</option>
<option value="Surgery">Surgery</option>
<option value="None">None</option>
</select>
<div class="chosen-container chosen-container-multi" title="" id="input_2_25_chosen" style="width: 916px;">
<ul class="chosen-choices">
<li class="search-field">
<input class="chosen-search-input default" type="text" autocomplete="off" value="Click to select..." style="width: 129px;">
</li>
</ul>
<div class="chosen-drop">
<ul class="chosen-results"></ul>
</div>
</div>
</div>
</div>
<div id="field_2_7" class="gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_7"><label class="gfield_label gform-field-label"
for="input_2_7">If you have tried any of the above treatments, were they helpful?</label>
<div class="ginput_container ginput_container_text"><input name="input_7" id="input_2_7" type="text" value="" class="large" placeholder="Describe please" aria-invalid="false"> </div>
</div>
<div id="field_2_8" class="gfield gfield--type-text gfield--width-full field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_8"><label class="gfield_label gform-field-label"
for="input_2_8">Any further information you would like to include?</label>
<div class="ginput_container ginput_container_text"><input name="input_8" id="input_2_8" type="text" value="" class="large" placeholder="Describe please" aria-invalid="false"> </div>
</div>
<fieldset id="field_2_20" class="gfield gfield--type-name gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_20">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Name<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row" id="input_2_20">
<span id="input_2_20_3_container" class="name_first gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_20.3" id="input_2_20_3" value="" aria-required="true">
<label for="input_2_20_3" class="gform-field-label gform-field-label--type-sub ">First</label>
</span>
<span id="input_2_20_6_container" class="name_last gform-grid-col gform-grid-col--size-auto">
<input type="text" name="input_20.6" id="input_2_20_6" value="" aria-required="true">
<label for="input_2_20_6" class="gform-field-label gform-field-label--type-sub ">Last</label>
</span>
</div>
</fieldset>
<div id="field_2_19" class="gfield gfield--type-email gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_19"><label
class="gfield_label gform-field-label" for="input_2_19">Email<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_email">
<input name="input_19" id="input_2_19" type="email" value="" class="large" aria-required="true" aria-invalid="false">
</div>
</div>
<div id="field_2_18" class="gfield gfield--type-phone gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_18"><label
class="gfield_label gform-field-label" for="input_2_18">Phone<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_phone"><input name="input_18" id="input_2_18" type="tel" value="" class="large" aria-required="true" aria-invalid="false"></div>
</div>
<fieldset id="field_2_21" class="gfield gfield--type-address gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_21">
<legend class="gfield_label gform-field-label gfield_label_before_complex">Home ZIP Code<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></legend>
<div class="ginput_complex ginput_container has_zip ginput_container_address gform-grid-row" id="input_2_21">
<input type="hidden" class="gform_hidden" name="input_21.4" id="input_2_21_4" value=""><span class="ginput_right address_zip ginput_address_zip gform-grid-col" id="input_2_21_5_container">
<input type="text" name="input_21.5" id="input_2_21_5" value="" aria-required="true">
<label for="input_2_21_5" id="input_2_21_5_label" class="gform-field-label gform-field-label--type-sub ">ZIP / Postal Code</label>
</span><input type="hidden" class="gform_hidden" name="input_21.6" id="input_2_21_6" value="">
<div class="gf_clear gf_clear_complex"></div>
</div>
</fieldset>
<div id="field_2_22" class="gfield gfield--type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below gfield_visibility_visible" data-js-reload="field_2_22"><label
class="gfield_label gform-field-label" for="input_2_22">Is it okay to contact you via text?<span class="gfield_required"><span class="gfield_required gfield_required_text">(Required)</span></span></label>
<div class="ginput_container ginput_container_select"><select name="input_22" id="input_2_22" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select</option>
<option value="Yes">Yes</option>
<option value="No">No</option>
</select></div>
</div>
</div>
</div>
<div class="gform_footer top_label"> <input type="submit" id="gform_submit_button_2" class="gform_button button" value="SUBMIT"
onclick="if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} "
onkeypress="if( event.keyCode == 13 ){ if(window["gf_submitting_2"]){return false;} if( !jQuery("#gform_2")[0].checkValidity || jQuery("#gform_2")[0].checkValidity()){window["gf_submitting_2"]=true;} jQuery("#gform_2").trigger("submit",[true]); }">
<input type="hidden" class="gform_hidden" name="is_submit_2" value="1">
<input type="hidden" class="gform_hidden" name="gform_submit" value="2">
<input type="hidden" class="gform_hidden" name="gform_unique_id" value="">
<input type="hidden" class="gform_hidden" name="state_2" value="WyJbXSIsImYzZDQyNWZmODhmZWExOWM2OWY5ZDg1NGY4MzI3ZDkyIl0=">
<input type="hidden" class="gform_hidden" name="gform_target_page_number_2" id="gform_target_page_number_2" value="0">
<input type="hidden" class="gform_hidden" name="gform_source_page_number_2" id="gform_source_page_number_2" value="1">
<input type="hidden" name="gform_field_values" value="">
</div>
</form>
Text Content
Skip to content Call now to see if Simplecedure is right for you: 469-697-6437 * Conditions We Treat * Simplecedure Advantage * FAQs * Contact Menu * Conditions We Treat * Simplecedure Advantage * FAQs * Contact CALL NOW BETTERWAY HOME SAY GOODBYE TO PAIN AND DISCOMFORT IN YOUR HAND. Whether you suffer from carpal tunnel syndrome, trigger finger or another hand condition, let BetterWay Medical Group help with Simplecedure – the quick, minimally invasive procedure that doesn’t require general anesthesia. And because there’s no hospital stay, you enjoy a lower cost with less interruption to your life. MAKE AN APPOINTMENT TODAY Answer a few simple questions below to get easier, more convenient relief from hand pain and discomfort without general anesthesia or the high cost of surgery. Where are you experiencing pain? Select multiple items if you have them FingersPalmWristForearmElbow * What symptoms are you experiencing? Select multiple items if you have them PainNumbness/tinglingDiscomfortWaking up due to pain or discomfortDropping itemsBurning sensationLoss of motionLump or bump * How long have you been experiencing selected symptoms? SelectDaysWeeksMonthsYears Have you previously been seen for the above selected symptoms? SelectYes, but want 2nd opinionYes, but it’s been over 90 daysNo What treatments have you already tried? Select multiple items if you have them SplintingInjection from physicianTherapyCreams or medicationsSurgeryNone * If you have tried any of the above treatments, were they helpful? Any further information you would like to include? Name(Required) First Last Email(Required) Phone(Required) Home ZIP Code(Required) ZIP / Postal Code Is it okay to contact you via text?(Required) SelectYesNo * Conditions We Treat * Simplecedure Advantage * FAQs * Contact * Conditions We Treat * Simplecedure Advantage * FAQs * Contact Simplecedure is a Registered Trademark of Wide Awake Media, LLC. ©2023 BetterWay Medical Group Info@BetterWayMedical.com Notifications