Registration Form

Click Here to Fill Out New Patient Request

(New patients only, current patients should use the patient portal).

For a Hypermobility Clinic Evaluation, please make an appointment request through this website.

Or use the QR code:

QR Code for Jotform form

  • The Fascia Institute and Treatment Center

  • 7030 Canal Blvd

    New Orleans, LA, 70124

  • 504-988-0100


Monday – Friday 8:30 – 4:30
Saturday Closed
Sunday Closed