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Join My Waitlist

Thank you for your interest in working with Dr. Jessica Shiyomura!!

In order to best help my clients, I have a limited number of current clients spots available. Feel free to join the waitlist if you are interested in working with Dr. Jessica Shiyomura.

🏋🏼‍♀️🧘‍♀️ Stay strong. Stay flexible.

Jessica Shiyomura, PT, DPT of Enhanced Physical Therapy and Wellness, LLC

Join My Waitlist

Please fill out the form below, and I will contact you with more information about my waitlist and scheduling.

First name

Last name

Date of Birth

Phone

Address (City, State)

Gender *

Female

Male

Other

Are you looking for weekday or weekend appointments? *

Weekday

Weekend

Open to Weekday and/or Weekend

Are you looking for virtual or in-person appointments?

Virtual

In-person (only available to Central Oregon residents)

Are you currenly enrolled in Online Program with Jessica?

Yes

Tell me a little about your medical history (we will review this once you become an ACTIVE client)

What are you looking to accomplish with your sessions with Dr. Jessca?

How did you hear about Dr. Jessica Shiyomura with Enhanced Physical Therapy and Wellness?

Brianna Battles / Pregnancy & Postpartum Athleticism

Barbell Rehab Directory

EDS Health Professionals Directory

Facebook

Instagram

TikTok

YouTube

Gym / Coach / Medical Provider

Friend/Family

Website

Flyer / Ad

Business Card

Other

Initials

I give Jessca Shiyomura PT, DPT and Enhanced Physical Therapy and Wellness permission to contact me

Central Oregon / jessicas@enhancedptwellness.com / 971-910-6265

www.enhancedptwellness.com

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