Alternative Medicine for Bunions – Learn More Today

Thank you for contacting Surgical Alternatives, Inc., home of the Non-Surgical Bunion Treatment, an alternative medicine for bunions. We are grateful for the opportunity to serve your needs. The requested information in this form allows us to review, evaluate, and determine if you are a good candidate for our treatment. Our clinic takes pride in providing the best care for your feet, and this starts with us knowing all of the essential information below.

The information you provide is confidential, and it remains confidential.

The requested information goes directly to Dr. Levingston and will be used to determine if you are a good candidate for our treatment. Once you fill out the form and upload your picture(s), we will determine your eligibility, and then we will call you to schedule your FREE consultation.

Remember, this form and the FREE consultation does not establish a doctor-patient relationship and all information does remain confidential. Due to the nature of the treatment, Dr. Levingston can only treat a few patients per day and space is limited. The sooner you submit the form, the sooner we can get you on the calendar!

General Information

How did you hear about us?
Do you have bunions?*
One footBoth feet
Are you in pain because of your bunions?*
Please attach a few photos of your feet*. Limit size file to 1 MG per image.
Clinic Fees
At Surgical Alternatives, Inc., we are available to you during business hours before, during, and after your treatment. This includes follow-up appointments, and questions about post treatment exercises, etc.

NOTICE: This form and the FREE consultation do not create a doctor-patient relationship. Our clinic has not taken you on a patient regarding the information listed above until both you and the clinic enter into a signed Agreement.

Your electronic signature acknowledges only that you received a copy of this completed form and does not reflect an agreement by either yourself or the clinic to enter into a formal doctor-patient Agreement. You acknowledge the same by signing below.

Type your full name (First, Middle, Last)*

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Learn more about our alternative bunion treatment. Start your consultation today. Call us at 303-532-4844, or use our consultation form shown below to send us information and pictures. You can also request a Free Report.