Clinical Support Page

Clinical Support Form

MR Institute of Continuing Education has physical therapists available to assist you with any clinical question. Please fill out and submit your request and we will contact you shortly.

Clinical Support Request

• *I Have a Problem Question Clinical Contact Update
  
  
• Name*
• 
  
  Facility Name* (If you are a home user, please type "Residence".)
• 
  Address


• City*  State Not in US Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Phone*
• Email*



• Need Clinical support regarding *

  Hold Ctrl key and click to select more than one
  Harness Application Protocol Information Pre-gait activities Overground walking Facilitation tips Onsite Training Crawling Alternative uses for PWB environment Mobility Device Competency check list Online refresher Training Treadmill use with LiteGait Other


• Please describe your issue.

LiteGait Security Help Fight Spam Enter the text that appears in above image:

* Fields marked with an asterisk are required.