Request appointment

Request an appointment

Use this secure form to request an appointment or ask the office to follow up about your symptoms, services, or becoming a new patient.

Start request Call (901) 828-1443

Request first

The office will follow up

This form does not confirm an appointment automatically. It sends your request to the office so they can follow up with the next step.

1Request sent

2Office follow-up

3Evaluation scheduled

Appointment request form

Messages are sent to Movement Restoration and Pain Institute through Formspree and routed to docjames@movementpain.com.

Do not use this form for emergencies or urgent medical concerns. If symptoms are severe, sudden, worsening, or concerning, seek appropriate medical care immediately.

Full name Phone

Email Preferred contact method What are you dealing with?

How long has this been going on? Have you tried other care?

Message By submitting this form, I understand this message is not for emergencies and does not create a doctor-patient relationship. I agree to be contacted by Movement Restoration and Pain Institute about my request.

For privacy, avoid sending detailed medical records, Social Security numbers, payment information, or urgent medical information through this form.

Contact information

Phone: (901) 828-1443
Email: docjames@movementpain.com
Website: movementpain.com

Address, hours, booking link, and insurance/payment details are still to be confirmed.

Prefer to call?

Call Movement Restoration and Pain Institute to schedule an evaluation or ask a question about becoming a new patient.

Call (901) 828-1443

Educational information only. Treatment recommendations require an individualized evaluation.