Breakthrough Rapid KNEE Pain Relief Program

in Rio Rancho, NM

📍8001 Wyoming Blvd. NE Suite D4

Albuquerque, NM 87113

Check YOUR Eligibility

Who are you filling this out for? *

Myself

Husband

Wife

Daughter

Son

What knee pain symptoms are you experiencing? *

Constant Knee Pain

Popping or Crackling when walking

Swelling and stiffness

Difficulty sleeping from discomfort

Unable to bear weight on the knee

Inability to fully straighten the knee

All of the above

Some of the above

On a scale from 1-5, 5 being “excruciating”, how bad is the pain in your knees? *

How long have these symptoms been bothering you? *

Less than 1 year

1 - 3 years

4 - 6 years

6+ years

Have you been told you're a candidate for knee replacement surgery? *

Yes

Have you been diagnosed with any of the following knee conditions? *

Knee joint degeneration

Arthritis

Meniscus tears

Osteochondritis dissecans

Sprain or Strain older than 6 weeks

All of the above

Some of the above

Financing options are available based on your credit. Which option best describes your credit history? *

Below 650

650-700

700-750

750+

We are located in 1920 Westside Boulevard, Rio Rancho NM 87124, is this commutable to you? *

Yes

What is your Zip code? (this helps us know that we are reaching people in our area) *

Full Name *

What is your best email address? *

What is your best phone number? *