APPLICATION REQUEST

 

 

CLICK HERE to fill out your application now.

Please fill in all fields. Then DOWNLOAD the application to your computer.  Email it back as an attachment along with your current professional license or certification to:

Info@DiastasisRehab.Com

If you have questions and would like to speak to us personally, please feel free to call us at 212-388-1308.

The next step after filling out your application is setting up a skype session with me. I look forward to meeting  and working with you.

Julie Tupler, RN