Note: all information is confidential
Please fill in the form before your first consultation, in electronic form and by email.
What is this form for?
The information you provide here will help us to understand how you see your problem, what type of approach is likely to be of most benefit for you and may help us when deciding the practitioner most likely to be effective for you. Your diagnosis or treatment is not decided on the basis of this form. All patients are seen as individuals and will be given personal one-to-one attention from their first consultation onwards.