Error - you didn\'t enter the a code in the spam check, please try again.
'; }
######################
# If Pass Validation #
######################
if(!$errMess)
{
#######################
# Email Website Owner #
#######################
$subject = 'AMF Health Care Contact form';
$body = "The following information request form was submitted via your website.\n\nName: $name\n\nPhone: $phone\n\nEmail: $email\n\nComments/Questions:\n$comment\n\nIP Address of sender: $ip";
if(mail($to,$subject,$body,"From: <$email>")) { $succ = true; }
########################
# Email Form Submitter #
########################
$fromEmail = explode(',',$to);
$fromEmail = $fromEmail[0];
$subject = 'Contact Request';
$body = "Dear $name,\n\nThank you for contacting AMF Health Care using our online form. We will review your information and get back to you as soon as possible. This was an automated reply to let you know your information was sent successfully.\n\nSincerely,\n$fromEmail";
if($succ && mail($email,$subject,$body,"From: $fromEmail<$fromEmail>")) { $succ = true; }
##########################
# Create Success Message #
##########################
if($succ) { header('Location: success.html'); }
else { $errMess = '
Error - there was an internal problem sending your request, please try again!
'; }
}
}
?>
Medical Doctors Clearwater SeminoleCONTACT ADVANCED MEDICAL OF FLORIDAphysical therapy chiropractor
Click here to download your patient intake forms. Please print and fill out and bring with you before your appointment.
Advanced Medical of Florida
Our mission at Advanced Medical of Florida is to provide you the medical care you need. As doctors, we understand your need for quality patient safety as well as rehabilitation and outpatient therapy.
All of our physicians are licensed and specialize in Nerve disorders that causes pain and numbness. When you visit our clinic, we carefully assess your medical condition and address any concerns you may have with efficiency and professionalism.
How we can help
We provide non-surgical, drug free solutions for those suffering from the debilitating or crippling effects of Peripheral Neuropathy.
We're here for you
The Neuropathy Centers organize complimentary dinner workshops, with the doctors, providing an opportunity to explore the possibilities of relieving your symptoms. Call today to make your reservation 727-408-5222.