Book an appointment below.

Please allow up to one full business day in order to receive a response.

In addition, be as specific as you can when filling out the appointment form below. This helps us provide you with an answer quicker.

Name

First Name

Last Name

Phone

(###)

###

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Preferred Contact Method

Address

Have you ever had orthotics in the past?

This means either generic orthotics or custom orthotics.

Do you currently have a prescription?

Where would you like to receive our services?

Choose the option closest to you.

Preferred day of the week to receive our services.

We do not provide services on Monday at any location.

Tuesday (Align Orthotics Kingston Only)

Wednesday (Perth Physiotherapy Only)

Thursday (Align Orthotics Kingston Only)

Friday (Align Orthotics Kingston Only)

Message

Please explain the issue you are having.