Contact Form

 

Doctor referrals

After meeting with both Dr Stack and Dr Sims, I believe they had the best option for my personal situation and we are in treatment at this moment.  Because of the great help he has given to my son, I felt that I could help him help others in need as well.  Great doctors but NOT web savvy, so I have created this online form that will put your request into their hands, so they can schedule an initial phone consultation with you.

 

Email contact at endtics@gmail.com

I am interested in scheduling a free telephone pre-consultation with the doctors.

I am interested in having a DVD and information packet sent to my home or work

I am interested in BOTH (Scheduling a call and receiving the DVD package in the mail)

First Name

Last Name

What state do you live in?

Telephone with area code (example 555-555-1212)

Best time to call?

Email