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Medical Aesthetics
Patient Resources
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Contact

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A Growing Care Network with 2 Locations

Our Peachtree City, GA Office

Joint Regeneration & Anti-Aging

1601 Georgian Park
Lower Terrace Level
Peachtree City, GA 30269

Get Directions
Call (678) 834-5526

Our Oldsmar, FL Office

Joint Regeneration & Anti Aging of Oldsmar

120 State St E #104, Oldsmar, FL 34677

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Call (813) 556-7440

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About Us
Services
Medical Aesthetics
Patient Resources
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Schedule A Consultation

Step 1 of 7

14%

TAKE OUR 10 SECOND QUIZ
Find Out If You Qualify for a FREE Consultation / Knee Assessment
Which Condition Are You Currently Experiencing?*
- Meniscal Tears
- Osteoarthritis
- Bone on bone
- Knee Injury

Rate Your Daily Pain*
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10

Do You Currently Take Any Medication To Deal With Pain / Discomfort*
- Yes
- No

Are you currently a patient at another knee pain office or clinic?*
- Yes
- No

When are you looking to get results?*
- Immediately
- 2 weeks
- 60 days
- 90 days and up

What type of Insurance do you have?*
- Original Medicare (red, white and blue card)
- Medicare with Supplemental or secondary insurance (Plan F, Plan G)
- Blue Cross Blue Shield
- Cigna
- United Healthcare Advantage
- Aetna
- I have insurance through my employer
- other insurance / I'm not sure what plan I have

Thank you for providing this case information. Please complete the form below to send these assessment results to our team:
Name / Surname*
First Last
Email*
Phone*
*
- I acknowledge that upon submitting this assessment I will be contacted via phone, email, or SMS by a treatment coordinator with a follow-up discussion within 24-48 hours.

Find Out if You Qualify by Filling Out This Quick Questionnaire.

"*" indicates required fields

Step 1 of 3

33%

Phone

This field is for validation purposes and should be left unchanged.

Current Condition*

Which Knee Are Having Pain?*

Left

Right

Both

Rate Your Daily Pain*

Do You Take Pain Medication Daily?*

Yes

No

Have You Had Any Knee Surgeries?*

Yes

No

Have You Been Told You Need Knee Surgery?*

Yes

No

Do You Have Medicare Insurance?*

Yes

No

First Name*

Last Name*

Phone*

Email*