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Submitted URL: http://startqckinetix.com/
Effective URL: https://qckinetix.com/south-florida/
Submission: On October 25 via api from US — Scanned from DE
Effective URL: https://qckinetix.com/south-florida/
Submission: On October 25 via api from US — Scanned from DE
Form analysis 2 forms found in the DOM
POST /south-florida/#gf_311882683
<form method="post" enctype="multipart/form-data" target="gform_ajax_frame_311882683" id="gform_311882683" class="gravity-forms-custom-form--locations" action="/south-florida/#gf_311882683">
<div class="gform_heading">
<h3 class="gform_title">ACTIVE- QC Kinetix Form Single Locations New - Latest Version 29th of July 2024</h3>
<span class="gform_description">* Please allow 30-60 minutes of allotted time to meet with a specialist to determine if you are a candidate for our services. Exams are included and are complimentary. By providing your phone number, you agree to
receive recurring automated promotional and personalized marketing text messages (e.g. cart/browse reminders) from QC Kinetix at the cell number used when signing up. Consent is not a condition of any purchase. Reply HELP for help and STOP to
cancel. Msg frequency varies. Msg and data rates may apply. View Terms & Privacy.</span>
</div>
<div class="gform_body">
<ul id="gform_fields_311882683" class="gform_fields top_label form_sublabel_below description_below">
<li id="field_311882683_2" class="gfield col-md-12 gfield_contains_required field_sublabel_above field_description_below hidden_label gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Name<span
class="gfield_required">*</span></label>
<div class="ginput_complex ginput_container no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name" id="input_311882683_2">
<span id="input_311882683_2_3_container" class="name_first">
<label for="input_311882683_2_3">First Name</label>
<input type="text" name="input_2.3" id="input_311882683_2_3" value="" aria-label="First name" aria-required="true" aria-invalid="false" placeholder="First Name">
</span>
<span id="input_311882683_2_6_container" class="name_last">
<label for="input_311882683_2_6">Last Name</label>
<input type="text" name="input_2.6" id="input_311882683_2_6" value="" aria-label="Last name" aria-required="true" aria-invalid="false" placeholder="Last Name">
</span>
</div>
</li>
<li id="field_311882683_3" class="gfield col-md-6 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_3">Email Address<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_email">
<input name="input_3" id="input_311882683_3" type="text" value="" class="large" placeholder="Email Address" aria-required="true" aria-invalid="false">
</div>
</li>
<li id="field_311882683_4" class="gfield col-md-6 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_4">Telephone Number<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_phone"><input name="input_4" id="input_311882683_4" type="text" value="" class="large" placeholder="Telephone Number" aria-required="true" aria-invalid="false"></div>
</li>
<li id="field_311882683_7" class="gfield col-md-6 state gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_7">State<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_7" id="input_311882683_7" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">State</option>
<option value="Alabama">Alabama</option>
<option value="Arizona">Arizona</option>
<option value="Arkansas">Arkansas</option>
<option value="California">California</option>
<option value="Colorado">Colorado</option>
<option value="Connecticut">Connecticut</option>
<option value="Florida">Florida</option>
<option value="Georgia">Georgia</option>
<option value="Idaho">Idaho</option>
<option value="Illinois">Illinois</option>
<option value="Indiana">Indiana</option>
<option value="Iowa">Iowa</option>
<option value="Kansas">Kansas</option>
<option value="Kentucky">Kentucky</option>
<option value="Maine">Maine</option>
<option value="Maryland">Maryland</option>
<option value="Massachusetts">Massachusetts</option>
<option value="Michigan">Michigan</option>
<option value="Minnesota">Minnesota</option>
<option value="Missouri">Missouri</option>
<option value="Montana">Montana</option>
<option value="Nebraska">Nebraska</option>
<option value="Nevada">Nevada</option>
<option value="New York">New York</option>
<option value="North Carolina">North Carolina</option>
<option value="Ohio">Ohio</option>
<option value="Oklahoma">Oklahoma</option>
<option value="Oregon">Oregon</option>
<option value="Pennsylvania">Pennsylvania</option>
<option value="Rhode Island">Rhode Island</option>
<option value="South Carolina">South Carolina</option>
<option value="South Dakota">South Dakota</option>
<option value="Tennessee">Tennessee</option>
<option value="Texas">Texas</option>
<option value="Utah">Utah</option>
<option value="Vermont">Vermont</option>
<option value="Virginia">Virginia</option>
<option value="West Virginia">West Virginia</option>
<option value="Wisconsin">Wisconsin</option>
<option value="Wyoming">Wyoming</option>
</select></div>
</li>
<li id="field_311882683_8" class="gfield col-md-6 gfield_contains_required field_sublabel_hidden_label field_description_below gfield_visibility_visible"><label class="gfield_label gfield_label_before_complex">Zip Code<span
class="gfield_required">*</span></label>
<div class="ginput_complex ginput_container has_zip ginput_container_address" id="input_311882683_8">
<input type="hidden" class="gform_hidden" name="input_8.4" id="input_311882683_8_4" value=""><span class="ginput_right address_zip" id="input_311882683_8_5_container">
<input type="text" name="input_8.5" id="input_311882683_8_5" value="" placeholder="Zip Code" aria-required="true">
<label for="input_311882683_8_5" id="input_311882683_8_5_label" class="hidden_sub_label screen-reader-text">ZIP Code</label>
</span><input type="hidden" class="gform_hidden" name="input_8.6" id="input_311882683_8_6" value="United States">
<div class="gf_clear gf_clear_complex"></div>
</div>
</li>
<li id="field_311882683_10" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_10">Preferred Clinic
Location (AL)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_10" id="input_311882683_10" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (AL)</option>
<option value="Birmingham - Homewood">Birmingham - Homewood</option>
<option value="Birmingham - Tuscaloosa">Birmingham - Tuscaloosa</option>
<option value="Huntsville - Shoney">Huntsville - Shoney</option>
<option value="Madison - AL">Madison - AL</option>
</select></div>
</li>
<li id="field_311882683_12" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_12">Preferred Clinic Location (AZ)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_12" id="input_311882683_12" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (AZ)</option>
<option value="Phoenix - Chandler">Phoenix - Chandler</option>
<option value="Phoenix - Peoria">Phoenix - Peoria</option>
<option value="Phoenix - Banner Estrella">Phoenix - Banner Estrella</option>
<option value="Phoenix - Scottsdale">Phoenix - Scottsdale</option>
<option value="Tucson - Academy">Tucson - Academy</option>
<option value="Tucson - Orange Grove">Tucson - Orange Grove</option>
</select></div>
</li>
<li id="field_311882683_13" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_13">Preferred Clinic Location (AR)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_13" id="input_311882683_13" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (AR)</option>
<option value="Bentonville">Bentonville</option>
<option value="Little Rock - Midtown">Little Rock - Midtown</option>
</select></div>
</li>
<li id="field_311882683_14" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_14">Preferred Clinic Location (CA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_14" id="input_311882683_14" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (CA)</option>
<option value="Central Valley - Clovis">Central Valley - Clovis</option>
<option value="LA - Costa Mesa">LA - Costa Mesa</option>
<option value="LA - Glendale">LA - Glendale</option>
<option value="LA - Mission Viejo">LA - Mission Viejo</option>
<option value="LA - Orange">LA - Orange</option>
<option value="SF Bay - Pleasanton">SF Bay - Pleasanton</option>
<option value="San Diego - Hillcrest">San Diego - Hillcrest</option>
<option value="San Diego - Torrey Hills">San Diego - Torrey Hills</option>
<option value="San Jose - CA">San Jose - CA</option>
</select></div>
</li>
<li id="field_311882683_15" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_15">Preferred Clinic Location (CO)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_15" id="input_311882683_15" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (CO)</option>
<option value="Aurora">Aurora</option>
<option value="North Colorado Springs">North Colorado Springs</option>
<option value="Superior">Superior</option>
<option value="Highlands Ranch">Highlands Ranch</option>
</select></div>
</li>
<li id="field_311882683_16" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_16">Preferred Clinic Location (CT)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_16" id="input_311882683_16" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (CT)</option>
<option value="Avon">Avon</option>
<option value="Glastonbury">Glastonbury</option>
<option value="New Haven">New Haven</option>
</select></div>
</li>
<li id="field_311882683_17" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_17">Preferred Clinic Location (FL)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_17" id="input_311882683_17" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (FL)</option>
<option value="Bradenton">Bradenton</option>
<option value="Brandon">Brandon</option>
<option value="Ft Myers">Ft Myers</option>
<option value="Gainesville">Gainesville</option>
<option value="Jacksonville - Mandarin">Jacksonville - Mandarin</option>
<option value="Lakeland">Lakeland</option>
<option value="Lake Mary">Lake Mary</option>
<option value="Largo">Largo</option>
<option value="Naples - North">Naples - North</option>
<option value="Ocala">Ocala</option>
<option value="Orlando - 33rd St">Orlando - 33rd St</option>
<option value="Orlando - Winter Park">Orlando - Winter Park</option>
<option value="Ponte Vedra">Ponte Vedra</option>
<option value="SFL - Aventura">SFL - Aventura</option>
<option value="SFL - Boca Raton">SFL - Boca Raton</option>
<option value="SFL - Doral">SFL - Doral</option>
<option value="SFL - Pembroke Pines">SFL - Pembroke Pines</option>
<option value="SFL - Tamarac">SFL - Tamarac</option>
<option value="SFL - West Palm Beach">SFL - West Palm Beach</option>
<option value="SFL - Palmetto Bay/Kendall South">SFL - Palmetto Bay/Kendall South</option>
<option value="St. Petersburg">St. Petersburg</option>
<option value="The Villages">The Villages</option>
<option value="Tallahassee - Mahan Center">Tallahassee - Mahan Center</option>
<option value="Coral Gables (EDT)">Coral Gables (EDT)</option>
<option value="Boynton Beach (EDT)">Boynton Beach (EDT)</option>
</select></div>
</li>
<li id="field_311882683_19" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_19">Preferred Clinic Location (GA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_19" id="input_311882683_19" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (GA)</option>
<option value="Atlanta - Decatur">Atlanta - Decatur</option>
<option value="Atlanta - Douglasville">Atlanta - Douglasville</option>
<option value="Atlanta - Lawrenceville">Atlanta - Lawrenceville</option>
<option value="Atlanta - Marietta">Atlanta - Marietta</option>
<option value="Atlanta - Sandy Springs">Atlanta - Sandy Springs</option>
<option value="Atlanta - Stockbridge">Atlanta - Stockbridge</option>
<option value="Augusta">Augusta</option>
<option value="Savannah - Pooler">Savannah - Pooler</option>
</select></div>
</li>
<li id="field_311882683_18" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_18">Preferred Clinic Location (ID)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_18" id="input_311882683_18" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (ID)</option>
<option value="Boise">Boise</option>
<option value="Idaho Falls">Idaho Falls</option>
</select></div>
</li>
<li id="field_311882683_20" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_20">Preferred Clinic Location (IL)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_20" id="input_311882683_20" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (IL)</option>
<option value="Champaign IL">Champaign IL</option>
<option value="Chicago - Naperville">Chicago - Naperville</option>
<option value="Chicago - Morton Grove">Chicago - Morton Grove</option>
<option value="Chicago - Oakbrook">Chicago - Oakbrook</option>
<option value="Springfield IL">Springfield IL</option>
</select></div>
</li>
<li id="field_311882683_21" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_21">Preferred Clinic Location (IN)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_21" id="input_311882683_21" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (IN)</option>
<option value="Elkhart">Elkhart</option>
<option value="Evansville">Evansville</option>
<option value="Ft. Wayne">Ft. Wayne</option>
<option value="Indianapolis - Carmel">Indianapolis - Carmel</option>
<option value="Indianapolis - Eagle Highlands">Indianapolis - Eagle Highlands</option>
<option value="Indianapolis - Greenwood">Indianapolis - Greenwood</option>
<option value="Mishawaka">Mishawaka</option>
</select></div>
</li>
<li id="field_311882683_22" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_22">Preferred Clinic Location (IA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_22" id="input_311882683_22" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (IA)</option>
<option value="Cedar Rapids - Coralville">Cedar Rapids - Coralville</option>
<option value="Des Moines">Des Moines</option>
</select></div>
</li>
<li id="field_311882683_23" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_23">Preferred Clinic Location (KS)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_23" id="input_311882683_23" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (KS)</option>
<option value="Wichita - Legacy Park">Wichita - Legacy Park</option>
<option value="Wichita - Ridgewood">Wichita - Ridgewood</option>
</select></div>
</li>
<li id="field_311882683_24" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_24">Preferred Clinic Location (KY)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_24" id="input_311882683_24" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (KY)</option>
<option value="Lexington - Harrodsburg">Lexington - Harrodsburg</option>
<option value="Louisville - Springs Medical">Louisville - Springs Medical</option>
</select></div>
</li>
<li id="field_311882683_25" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_25">Preferred Clinic Location (ME)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_25" id="input_311882683_25" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (ME)</option>
<option value="Portland - Freeport">Portland - Freeport</option>
<option value="Portland - Kennebunk">Portland - Kennebunk</option>
<option value="Portland - South Portland">Portland - South Portland</option>
</select></div>
</li>
<li id="field_311882683_26" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_26">Preferred Clinic Location (MD)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_26" id="input_311882683_26" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MD)</option>
<option value="Baltimore - Towson">Baltimore - Towson</option>
</select></div>
</li>
<li id="field_311882683_27" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_27">Preferred Clinic Location (MA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_27" id="input_311882683_27" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MA)</option>
<option value="Boston - Lawrence">Boston - Lawrence</option>
<option value="Boston - Lowell">Boston - Lowell</option>
<option value="Boston - Weymouth">Boston - Weymouth</option>
<option value="Providence - Fall River">Providence - Fall River</option>
<option value="Springfield - MA">Springfield - MA</option>
</select></div>
</li>
<li id="field_311882683_28" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_28">Preferred Clinic Location (MI)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_28" id="input_311882683_28" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MI)</option>
<option value="Flint">Flint</option>
<option value="Grand Rapids - East">Grand Rapids - East</option>
<option value="Grand Rapids - Portage">Grand Rapids - Portage</option>
<option value="Holland">Holland</option>
<option value="Lansing">Lansing</option>
<option value="Portage">Portage</option>
</select></div>
</li>
<li id="field_311882683_29" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_29">Preferred Clinic Location (MN)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_29" id="input_311882683_29" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MN)</option>
<option value="Twin Cities - Burnsville">Twin Cities - Burnsville</option>
<option value="Twin Cities - Eden Prairie">Twin Cities - Eden Prairie</option>
<option value="Twin Cities - Fridley">Twin Cities - Fridley</option>
<option value="Twin Cities - Maple Grove">Twin Cities - Maple Grove</option>
<option value="Twin Cities - Maplewood">Twin Cities - Maplewood</option>
</select></div>
</li>
<li id="field_311882683_30" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_30">Preferred Clinic Location (MO)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_30" id="input_311882683_30" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MO)</option>
<option value="Gladstone">Gladstone</option>
<option value="Joplin">Joplin</option>
<option value="Kansas City">Kansas City</option>
<option value="Springfield - Branson">Springfield - Branson</option>
<option value="Springfield National Avenue">Springfield National Avenue</option>
</select></div>
</li>
<li id="field_311882683_33" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_33">Preferred Clinic Location (NY)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_33" id="input_311882683_33" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (NY)</option>
<option value="Albany - Latham">Albany - Latham</option>
<option value="Albany - Saratoga Springs">Albany - Saratoga Springs</option>
<option value="Buffalo - Williamsville">Buffalo - Williamsville</option>
<option value="Buffalo - Hamburg">Buffalo - Hamburg</option>
</select></div>
</li>
<li id="field_311882683_34" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_34">Preferred Clinic Location (NC)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_34" id="input_311882683_34" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (NC)</option>
<option value="Asheville">Asheville</option>
<option value="Cary">Cary</option>
<option value="Charlotte">Charlotte</option>
<option value="Clayton">Clayton</option>
<option value="ENC Greenville">ENC Greenville</option>
<option value="Lake Norman">Lake Norman</option>
<option value="Greensboro">Greensboro</option>
<option value="Wake Forest">Wake Forest</option>
<option value="Waverly">Waverly</option>
<option value="Raleigh">Raleigh</option>
<option value="Winston-Salem">Winston-Salem</option>
</select></div>
</li>
<li id="field_311882683_35" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_35">Preferred Clinic Location (OH)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_35" id="input_311882683_35" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (OH)</option>
<option value="Cleveland - Beachwood">Cleveland - Beachwood</option>
<option value="Cleveland - Independence">Cleveland - Independence</option>
<option value="Cleveland - Mentor">Cleveland - Mentor</option>
<option value="Cleveland - Westlake">Cleveland - Westlake</option>
<option value="Columbus - Dublin">Columbus - Dublin</option>
<option value="Columbus - Gahanna">Columbus - Gahanna</option>
<option value="Cincinnati - Eastgate">Cincinnati - Eastgate</option>
<option value="Cincinnati - Liberty">Cincinnati - Liberty</option>
<option value="Kettering">Kettering</option>
<option value="Toledo - Sylvania">Toledo - Sylvania</option>
<option value="Youngstown - Warren">Youngstown - Warren</option>
</select></div>
</li>
<li id="field_311882683_36" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_36">Preferred Clinic Location (OK)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_36" id="input_311882683_36" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (OK)</option>
<option value="OKC - Edmond">OKC - Edmond</option>
<option value="Oklahoma City - Artesian">Oklahoma City - Artesian</option>
<option value="Tulsa">Tulsa</option>
</select></div>
</li>
<li id="field_311882683_37" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_37">Preferred Clinic Location (OR)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_37" id="input_311882683_37" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (OR)</option>
<option value="Eugene">Eugene</option>
<option value="Portland - West Slope">Portland - West Slope</option>
<option value="Portland - Tualatin">Portland - Tualatin</option>
<option value="Rogue Valley">Rogue Valley</option>
</select></div>
</li>
<li id="field_311882683_38" class="gfield col-md-12 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_38">Preferred Clinic Location (PA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_38" id="input_311882683_38" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (PA)</option>
<option value="Baederwood">Baederwood</option>
<option value="Camp Hill">Camp Hill</option>
<option value="Exton">Exton</option>
<option value="Kennett Square">Kennett Square</option>
<option value="Lancaster">Lancaster</option>
<option value="Philly - King of Prussia PA">Philly - King of Prussia PA</option>
<option value="Pittsburgh - Robinson">Pittsburgh - Robinson</option>
</select></div>
</li>
<li id="field_311882683_39" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_39">Preferred Clinic Location (RI)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_39" id="input_311882683_39" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (RI)</option>
<option value="Warwick">Warwick</option>
</select></div>
</li>
<li id="field_311882683_40" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_40">Preferred Clinic Location (SC)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_40" id="input_311882683_40" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (SC)</option>
<option value="Charleston">Charleston</option>
<option value="Columbia - Downtown">Columbia - Downtown</option>
<option value="Fort Mill">Fort Mill</option>
<option value="Greenville">Greenville</option>
<option value="Myrtle Beach">Myrtle Beach</option>
<option value="Summerville">Summerville</option>
<option value="West Columbia">West Columbia</option>
</select></div>
</li>
<li id="field_311882683_42" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_42">Preferred Clinic Location (TN)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_42" id="input_311882683_42" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (TN)</option>
<option value="Chattanooga - Panorama">Chattanooga - Panorama</option>
<option value="Farragut">Farragut</option>
<option value="Johnson City">Johnson City</option>
<option value="Knoxville - Powell">Knoxville - Powell</option>
<option value="Nashville - Clarksville">Nashville - Clarksville</option>
<option value="Nashville - Midtown">Nashville - Midtown</option>
<option value="Nashville - Murfreesboro">Nashville - Murfreesboro</option>
</select></div>
</li>
<li id="field_311882683_43" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_43">Preferred Clinic Location (TX)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_43" id="input_311882683_43" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (TX)</option>
<option value="Amarillo">Amarillo</option>
<option value="Austin">Austin</option>
<option value="Beaumont">Beaumont</option>
<option value="Brownsville">Brownsville</option>
<option value="College Station">College Station</option>
<option value="Corpus Christi">Corpus Christi</option>
<option value="DFW - Dallas">DFW - Dallas</option>
<option value="DFW - Fort Worth">DFW - Fort Worth</option>
<option value="DFW - Grapevine">DFW - Grapevine</option>
<option value="DFW - West Plano">DFW - West Plano</option>
<option value="DFW - East Plano Richardson">DFW - East Plano Richardson</option>
<option value="Houston - Cypress">Houston - Cypress</option>
<option value="Houston - Sugar Land">Houston - Sugar Land</option>
<option value="Houston - The Heights">Houston - The Heights</option>
<option value="Houston - The Woodlands">Houston - The Woodlands</option>
<option value="Longview">Longview</option>
<option value="Lubbock">Lubbock</option>
<option value="Midland">Midland</option>
<option value="Pharr">Pharr</option>
<option value="Round Rock">Round Rock</option>
<option value="San Antonio - New Braunfels">San Antonio - New Braunfels</option>
<option value="San Antonio - Hardy Oak">San Antonio - Hardy Oak</option>
<option value="San Antonio - Westover Hills">San Antonio - Westover Hills</option>
<option value="Sherman">Sherman</option>
<option value="Temple">Temple</option>
<option value="Wichita Falls - TX">Wichita Falls - TX</option>
</select></div>
</li>
<li id="field_311882683_45" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_45">Preferred Clinic Location (UT)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_45" id="input_311882683_45" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (UT)</option>
<option value="Mill Creek">Mill Creek</option>
<option value="Provo">Provo</option>
<option value="Bountiful">Bountiful</option>
</select></div>
</li>
<li id="field_311882683_46" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_46">Preferred Clinic Location (VT)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_46" id="input_311882683_46" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (VT)</option>
<option value="North Country - Colchester">North Country - Colchester</option>
</select></div>
</li>
<li id="field_311882683_47" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_47">Preferred Clinic Location (VA)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_47" id="input_311882683_47" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (VA)</option>
<option value="Newport News">Newport News</option>
<option value="Richmond">Richmond</option>
<option value="Virginia Beach">Virginia Beach</option>
</select></div>
</li>
<li id="field_311882683_48" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_48">Preferred Clinic Location (WV)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_48" id="input_311882683_48" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (WV)</option>
<option value="Cross Lanes">Cross Lanes</option>
<option value="Huntington">Huntington</option>
</select></div>
</li>
<li id="field_311882683_49" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_49">Preferred Clinic Location (WI)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_49" id="input_311882683_49" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (WI)</option>
<option value="Appleton">Appleton</option>
<option value="Eau Claire">Eau Claire</option>
<option value="Green Bay - Ashwaubenon">Green Bay - Ashwaubenon</option>
<option value="Milwaukee - Greenfield">Milwaukee - Greenfield</option>
<option value="Madison - NE">Madison - NE</option>
<option value="Madison - Southwest">Madison - Southwest</option>
<option value="Milwaukee - Mequon">Milwaukee - Mequon</option>
</select></div>
</li>
<li id="field_311882683_50" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_50">Preferred Clinic Location (WY)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_50" id="input_311882683_50" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (WY)</option>
<option value="Cheyenne">Cheyenne</option>
</select></div>
</li>
<li id="field_311882683_53" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_53">Preferred Clinic Location (MT)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_53" id="input_311882683_53" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (MT)</option>
<option value="Billings">Billings</option>
</select></div>
</li>
<li id="field_311882683_54" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_54">Preferred Clinic Location (NV)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_54" id="input_311882683_54" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (NV)</option>
<option value="Summerlin">Summerlin</option>
</select></div>
</li>
<li id="field_311882683_55" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_55">Preferred Clinic Location (SD)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_55" id="input_311882683_55" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (SD)</option>
<option value="Sioux Falls">Sioux Falls</option>
</select></div>
</li>
<li id="field_311882683_56" class="gfield col-md-12 clinic_2 preferred_clinic gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label"
for="input_311882683_56">Preferred Clinic Location (NE)<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_56" id="input_311882683_56" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Preferred Clinic Location (NE)</option>
<option value="Omaha">Omaha</option>
</select></div>
</li>
<li id="field_311882683_52" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_52" id="input_311882683_52" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_311882683_51" class="gfield col-md-12 gfield_contains_required field_sublabel_below field_description_below hidden_label gfield_visibility_hidden" style="display: none;"><label class="gfield_label"
for="input_311882683_51">Treatment Types<span class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_51" id="input_311882683_51" class="large gfield_select" aria-required="true" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Type of Treatment</option>
<option value="Joint Pain">Joint Pain</option>
<option value="Hair Restoration">Hair Restoration</option>
</select></div>
</li>
<li id="field_311882683_58" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_58">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_58" id="input_311882683_58" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Testosterone Replacement Therapy">Testosterone Replacement Therapy</option>
<option value="Hair Loss Treatment">Hair Loss Treatment</option>
<option value="Weight Loss">Weight Loss</option>
</select></div>
</li>
<li id="field_311882683_61" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_61">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_61" id="input_311882683_61" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Hair Loss Treatment">Hair Loss Treatment</option>
<option value="Weight Loss">Weight Loss</option>
</select></div>
</li>
<li id="field_311882683_60" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_60">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_60" id="input_311882683_60" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Testosterone Replacement Therapy">Testosterone Replacement Therapy</option>
<option value="Hair Loss Treatment">Hair Loss Treatment</option>
</select></div>
</li>
<li id="field_311882683_65" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_65">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_65" id="input_311882683_65" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Testosterone Replacement Therapy">Testosterone Replacement Therapy</option>
<option value="Weight Loss">Weight Loss</option>
</select></div>
</li>
<li id="field_311882683_66" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_66">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_66" id="input_311882683_66" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Testosterone Replacement Therapy">Testosterone Replacement Therapy</option>
</select></div>
</li>
<li id="field_311882683_63" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_63">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_63" id="input_311882683_63" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Hair Loss Treatment">Hair Loss Treatment</option>
</select></div>
</li>
<li id="field_311882683_64" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_64">Select the Service You're Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_64" id="input_311882683_64" class="medium gfield_select" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
</select></div>
</li>
<li id="field_311882683_62" class="gfield col-md-12 treatment-select field_sublabel_below field_description_below gfield_visibility_visible" style="display: none;"><label class="gfield_label" for="input_311882683_62">Select the Service You're
Interested In</label>
<div class="ginput_container ginput_container_select"><select name="input_62" id="input_311882683_62" class="medium gfield_select" aria-invalid="false" disabled="">
<option value="" selected="selected" class="gf_placeholder">Select the Service You're Interested In</option>
<option value="Pain Relief">Pain Relief</option>
<option value="Weight Loss">Weight Loss</option>
</select></div>
</li>
<li id="field_311882683_67" class="gfield gform_hidden field_sublabel_below field_description_below gfield_visibility_visible"><input name="input_67" id="input_311882683_67" type="hidden" class="gform_hidden" aria-invalid="false" value=""></li>
<li id="field_311882683_9" class="gfield col-md-12 gfield_contains_required field_sublabel_below field_description_below gfield_visibility_visible"><label class="gfield_label" for="input_311882683_9">How Did You Hear About Us?<span
class="gfield_required">*</span></label>
<div class="ginput_container ginput_container_select"><select name="input_9" id="input_311882683_9" class="large gfield_select" aria-required="true" aria-invalid="false">
<option value="" selected="selected" class="gf_placeholder">How Did You Hear About Us?</option>
<option value="Chatbot">Chatbot</option>
<option value="CVS Kiosk">CVS Kiosk</option>
<option value="Digital Ad">Digital Ad</option>
<option value="Direct Mail">Direct Mail</option>
<option value="Employee Referral">Employee Referral</option>
<option value="Event">Event</option>
<option value="Facebook">Facebook</option>
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Find your solution with QC Kinetix’s, non-surgical therapies!
* Treatments
* Pain Relief
* Weight Loss
* Men's Health
* Hair Regeneration
* Conditions Treated
* * * Knee Pain
* Shoulder Pain
* Elbow Pain
* Wrist Pain
* Lower Back Pain
* Hip Pain
* Ankle Pain
* Joint Pain
* * Arthritis Related Pain
* Finger/Toe Pain
* Foot/Hand Pain
* Tendon and Ligament Pain
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* * * Weight Loss
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1-800-490-4QCK
Request a Free Consultation
QC Kinetix South Florida
AVENTURA
BOCA RATON
BOYNTON BEACH
CORAL GABLES
DORAL
PALMETTO BAY/KENDALL SOUTH
PEMBROKE PINES
TAMARAC
WEST PALM BEACH
SUPPORT CENTER HOURS
Monday through Friday
8am to 9pm EST
Saturday
9am to 8pm EST
Sunday
9am to 5pm EST
Clinic Hours May Vary depending on location
(786) 627-6103
Schedule a Free Consultation
ALTERNATIVE TREATMENTS TO SURGERY FOR CHRONIC PAIN AND SPORTS INJURIES IN SOUTH
FLORIDA
Whether you experience pain related to an injury or medical condition or have
soreness and pain from wear and tear on your body, you may find relief through
regenerative medicine.
Traditional methods of dealing with chronic pain either involve surgery or
temporary fixes. People that experience chronic pain are usually frustrated with
their progress and feel neglected throughout their treatment. Quick fixes to
chronic pain do not last long and generally provide minimal relief.
QC Kinetix offers non-surgical regenerative medicine in South Florida to treat
many types of pain. Regenerative medicine in Miami, FL can help relieve pain in
joints and muscles throughout the body. The regenerative medical solutions in
South Florida provided by QC Kinetix have provided pain relief and have helped
our client’s bodies heal themselves.
Regenerative medicine refers to a variety of therapies that encourage the body
to heal itself. The specialists at QC Kinetix develop unique and targeted
treatment plans for every patient that they see. Our treatment approaches
consist of non-surgical regenerative therapies that are minimally invasive.
Our treatment plans are tailored to each patient based on the condition causing
their pain, the type of pain they are experiencing, and their medical history.
This customized approach leads to more success and ensures that we are doing
everything we can to provide the best outcome for you.
The combination of multiple non-surgical treatment options generally leads to
successful pain relief long term. Often, regenerative therapies aren’t going to
cure a degenerative disease like arthritis, but they can help manage pain and
prevent further damage.
By visiting our clinics, you will be taking the first step towards a better
quality of life without surgery. Our advanced regenerative orthopedics in South
Florida has been successful for countless patients.
We measure success by assessing the quality of life of our patients. We have
found that our patients experience less pain and have more mobility after
receiving treatment from us.
Schedule a Free Consultation
NON-SURGICAL PAIN RELIEF SOLUTIONS AT QC KINETIX
QC Kinetix offers pain relief solutions without surgery. Our medical providers
perform advanced regenerative orthopedics in South Florida that relieves pain
related to injuries, medical conditions, and more.
Our specialists are experts in the non-surgical healing of joints, tissue,
ligaments, muscles, and more. Surgeries for joint and back pain can be risky and
require a lengthy recovery period. Sometimes they are even unsuccessful in
mitigating pain.
We understand your desire for more natural healing options. Our team will do
everything possible to maximize your results with non-surgical methods.
Regenerative medicine (often combined with traditional non-surgical treatments
like physical therapy) has proven to be effective in improving patients’ quality
of life.
Compared with surgical means, patients that seek regenerative medical solutions
in South Florida have shorter recovery periods and can get back to their daily
lives much more quickly.
If you want to avoid surgery when dealing with your pain, consider QC Kinetix.
Our regenerative medicine clinics deploy non-surgical methods of healing and
pain relief. We have several locations in South Florida. At our regenerative
medicine clinic in Boca Raton we provide treatments to help with a wide range of
injuries and pains.
MEET THE QC KINETIX (SOUTH FLORIDA) TEAM
DR. SANDER FERNANDEZ
MD
Dr. Sander Fernandez is the Medical Director of the South Florida region QC
Kinetix clinics. He is a board-certified family medicine physician who
specializes in regenerative medicine and non-surgical pain management. He
obtained his Doctor of Medicine degree from St. Matthew’s University School of
Medicine in 2011 and completed his residency training in Family Medicine at East
Carolina University/Vidant Medical Center in 2014. (He also obtained a Bachelor
of Science degree from Florida International University in 2006, as well as a
Master’s in Healthcare Administration from Davenport University in 2014.) Dr.
Fernandez has always had a passion for sports medicine and musculoskeletal
pathology. Since his early years practicing sports and being surround by his
father (former head coach of a national swim team), as well as his older brother
(former professional Triathlete who sustained multiple injuries from which he
struggled to recover), he knew steroids or anti-inflammatories were not the best
treatment choices. He also knew that physical therapy had his limitations.
Throughout his education, Dr. Fernandez has completed multiple CME courses and
trainings with various organizations to continue advancing his knowledge and
helping his patients with additional therapeutic options. Over the past 5 years,
his practice has been focused on physical medicine and rehabilitation,
non-surgical regenerative medicine, and clinical research. Witnessing so many
patients take back their lives and be functional again through these treatments
has been a very gratifying experience. When he’s not busy treating patients, Dr.
Fernandez loves going on adventures with his wife and children, serving on
mission trips with his church, training for Triathlons, and playing golf and
tennis.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arithritis Pain
Elbow Pain
MILTON MENCO
PA-C
Milton Menco is a certified PA (physician assistant) born in Colombia. He has a
background in exercise physiology and worked as a medical laboratory researcher
before attending the PA program at Nova Southeastern University in Fort
Lauderdale, Florida, where he graduated with honors. Since graduating, he has
worked in interventional pain management, urgent care and orthopedic surgery. He
has managed patients as part of a team using a diverse spectrum of treatments
including physical therapy, steroid and non-steroid joint injections, and
surgery. Milton’s interest in regenerative medicine piqued after noticing that
an ample number of patients treated surgically and non-surgically were
unsatisfied and frustrated with the outcomes obtained through these traditional
therapies. The frustration only grew when many of them could never return to a
fair quality of life or to their normal hobbies and levels of physical activity
despite proper, traditional medical care. After learning about QC Kinetix and
its innovative protocols in treating a great deal of patients with various
musculoskeletal and degenerative conditions, he quickly jumped at the
opportunity to become part of this team that is at the forefront of regenerative
medicine. He has completed a focused training and his goal is to educate and to
successfully treat and restore a good quality of life to every patient that
comes into our care.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arithritis Pain
Elbow Pain
JENNIFER GONZALEZ
PA-C, ATC
Jennifer is a dedicated and highly skilled Physician Assistant with a profound
focus on orthopedic medicine. She began her journey in healthcare by earning
a Bachelors in Athletic Training from Barry University, and Master’s degree in
Physician Assistant studies from Miami Dade College. She has ten plus years of
orthopedic hands-on experience specializing in the evaluation, diagnosis, and
treatment of orthopedic related injuries. Her passion for regenerative medicine
began when she was an ATC and discovered the benefits of PRP injections
responsible for enhancing the performance and recovery of athletes. As a
Physician Assistant she has collaborated with several Orthopedic
Surgeons and kept pace with the latest advancements in orthopedic treatments and
surgical techniques, including utilizing PRP injections in both surgical and
non-surgical settings.
Jennifer was raised with a natural inclination towards movement and physical
activity, which allowed her to develop a love for an active lifestyle early on.
Whether it’s hitting the gym, exploring outdoor trails, or trying out new
fitness trends, she thrives on the energy derived from staying physically
engaged. She also has a passion for all sports, specifically Miami Heat and
Dolphins, as she is a proud Miami Florida Native.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arithritis Pain
Elbow Pain
ESTEFANIA PARRA
APRN, FNP-BC
Estefania Parra is a Nurse Practitioner with years of experience in both
traditional medicine and holistic approaches, Estefania has a root cause and
preventative medicine approach, and a passion seeing patients reach optimal
health in both physical and emotional well-being.
She specializes in creating personalized plans that combine the best of
conventional medicine with alternative therapies to alleviate pain and promote
healing.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arithritis Pain
Elbow Pain
JAYWANTI SHAH
FNP-BC, FNP-C
Jaywanti Shah, is a board certified Family Nurse Practitioner (FNP-BC, FNP-C).
She has completed her Family Nurse Practitioner program from Florida Atlantic
University. She has over 15 years of critical care experience in cardiac,
gastroenterology, neurology, musculoskeletal, pulmonary, endocrine and
nephrology areas. She is trained and qualified to administer regenerative
medicine efficiently for treating osteoarthritis and various musculoskeletal
disorders. She enjoys helping patients with musculoskeletal disorders get relief
from pain and achieve optimal function. She is proactive and always eager to
find the best solution for her patients. In her free time she enjoys sports,
listening to music and spending time with friends and family.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arithritis Pain
Elbow Pain
NINO TARICANI’S
APNR,FNP-BC
Nino is an APNR (FNP-BC) certified by the Board with an emphasis on providing
exceptional care to patients of all ages with orthopedic, neurological and/or
rheumatological conditions.
Born in Venezuela, he studied medicine at the Universidad Centro Occidental
Lisandro Alvarado, Barquisimeto, Venezuela. He then received a Master’s degree
in Orthopedic Surgery from the Central University of Venezuela, Caracas. Since
then, he has worked in public and private hospitals as a Specialist Orthopedic
Surgeon, in clinics, inpatients, outpatients, surgeries and emergencies for
several years (more than 30), with the latest advances in orthopedic treatment
and surgical techniques, including the use of PPP/PRP in fractures,
musculoskeletal, and joint injuries both surgical and non-surgical, and
degenerative conditions for more than 25 years. After emigrating to the United
States with his family, he attended Saint Thomas University (STU) in Miami
Gardens. Completing her Master of Science in Nursing from the Family
Practitioner Nurse specialty.
He finally returned to his passion for orthopedic fields, after working as an RN
supervisor for a few years in USA. With the QC Kinetix team, he is excited to
evaluate, treat and restore quality of life as much as he can, teaching,
supporting, and encouraging the patients to regain their good musculoskeletal
condition.
Nino lives with his wife and children, and when he is away from the office, he
enjoys spending time with family and friends.
She finds it very rewarding to communicate fluently with patients in English,
Spanish and Italian.
Schedule A Consultation
SPECIALIZATION / INFO
Knee Pain
Hip Pain
Shoulder Pain
Hand Pain
Arthritis Pain
Elbow Pain
*
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QC KINETIX
SOUTH FLORIDA TESTIMONIALS
LEARN WHAT OUR PATIENTS HAVE EXPERIENCED WITH
THEIR REGENERATIVE KNEE PAIN THERAPY.
View All Testimonials
"Great experience with QC kinetix Barry and his team have truly helped me to see
a future of better mobility & healing thank you all for amazing care you given
me."
M. L.
"QC kinetix did a wonderful job of helping my back and helping me get back to
the pain free and mobility of a young man. I highly recommend them."
D. M.
"I never thought I could enjoy life without pain, Qc Kinetics made life without
pain a reality. The staff and Qc Kinetics are professional and friendly."
H. S.
QC KINETIX AND PRO
FOOTBALL LEGEND
EMMITT SMITH
ANNOUNCE OFFICIAL PARTNERSHIP
Schedule a Free Consultation
© 2024 QC Kinetix. All Rights Reserved.
Conditions Treated
* Knee Pain
* Shoulder Pain
* Elbow Pain
* Wrist Pain
* Low Back Pain
* Hip Pain
* Arthritis-Related Pain
* Knee Pain
* Shoulder Pain
* Elbow Pain
* Wrist Pain
* Low Back Pain
* Hip Pain
* Arthritis-Related Pain
* Finger/Toe Pain
* Foot/Hand Pain
* Tendon, Ligament, and Muscle Pain
* Hair Loss
* Low Testosterone
* Ankle Pain
* Joint Pain
* Finger/Toe Pain
* Foot/Hand Pain
* Tendon, Ligament, and Muscle Pain
* Hair Loss
* Low Testosterone
* Ankle Pain
* Joint Pain
* Finger/Toe Pain
* Foot/Hand Pain
* Tendon, Ligament, and Muscle Pain
* Hair Loss
* Low Testosterone
* Ankle Pain
* Joint Pain
* Finger/Toe Pain
* Foot/Hand Pain
* Tendon, Ligament, and Muscle Pain
* Hair Loss
* Low Testosterone
* Ankle Pain
* Joint Pain
Supplements
* Joint & Bone Health
* Soreness Cream
* Joint & Bone Health
* Soreness Cream
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ARIZONA
QC Kinetix (Tucson)
CONNECTICUT
QC Kinetix (Avon)
QC Kinetix (Glastonbury)
QC Kinetix (New Haven)
FLORIDA
QC Kinetix (Ft. Myers)
QC Kinetix (Naples)
GEORGIA
QC Kinetix (Augusta)
QC Kinetix (Savannah)
IOWA
QC Kinetix (Coralville)
NORTH CAROLINA
QC Kinetix (Cary)
QC Kinetix (Clayton)
QC Kinetix (Raleigh)
QC Kinetix (Wake Forest)
NEW YORK
QC Kinetix (Latham)
QC Kinetix (Saratoga Springs)
TEXAS
QC Kinetix (Midland)
OHIO
QC Kinetix (Youngstown)
OKLAHOMA
QC Kinetix (Artesian)
QC Kinetix (Edmond)
OREGON
QC Kinetix (Eugene)
PENNSYLVANIA
QC Kinetix (Baederwood)
QC Kinetix (Exton)
QC Kinetix (Kennett Square)
QC Kinetix (King of Prussia)
QC Kinetix (Camp Hill)
QC Kinetix (Lancaster)
VIRGINIA
QC Kinetix (Virginia Beach)
QC Kinetix (Stony Point)
WISCONSIN
QC Kinetix (Madison - NE)
QC Kinetix (Madison - SW)
QC Kinetix (Eau Claire)