980 Birmingham Rd
Suite 502
Milton, GA
(678)266-3300
(678)266-3322 fax
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If you have been a patient of Dr. Jeremy's and would like to share your story please complete the brief form below. We thank you for sharing your testimonial!
Please note that by submitting a testimonial you are giving your consent for us to utilize your story on our website and for other marketing purposes.
Name
*
First
Last
Email
*
Your e-mail address will be kept confidential and is for the purpose of verifying that you are a current or former patient if necessary.
How Would You Like Your Name to Appear on Your Testimonial?
*
First Name and Last Initial Only
Permission to Use Full Name
If 'yes' please email a picture to nicole@thrivecwc.com. Pictures really help testimonials come alive for prospective patients so we appreciate you willingness to allow us to put a face with the name!
Do We Have Permission to Use a Picture of You with this Testimonial?
*
Yes
No
If 'yes' please email a picture to nicole@thrivecwc.com. Pictures make testimonials come alive so we thank you in advance for your willingness to allow us to put a face with the name for people. Please note that by submitting a picture you are consenting for us to utilize the picture on our website and for other marketing purposes.
Testimonial Related to (Check All Applicable)
*
Acupuncture
Back Pain
Diet
Exercise
General Wellness
Hip Pain
KinesioTaping
Massage Therapy
Neck Pain
Osteoperosis
Pediatric
Prenatal
Shoulder Pain
Sports Injury
Sports Optimization
Surgery
Weight Loss
How has Care at Thrive Benefitted You or Your Child?
*
Please tell us your story. You can write a few sentences or a few paragraphs. Have we mentioned how much we appreciate you and your willingness to spread the word about the level of care you have received at Thrive and the benefits to your health? Thank you, thank you, thank you!
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