Your Chiropractic Initial Consultation
Since the onset of COVID-19 we are asking you to tell us about the symptoms of your current complaint, and to complete a COVID Declaration before every face to face appointment. Having up to date information before your appointment saves face to face time for hands on care and provides a safer environment for all.
It is essential that you are aware of our procedures for face to face care and that you observe all COVID-19 precautions/restrictions when you visit – this keeps the clinic running smoothly and safely for everyone.
New Patient and Patient Consent forms are provided as .pdf documents, for you to: print, complete and return by email before your appointment – please return these a day or two before your appointment.
You should only complete your COVID-19 Declaration on the day of your appointment, so that the information you provide is correct at the time of your visit – the declaration can be completed online and takes about a minute.
Click on the links below to start completing your forms:
New Patient Form – contact information, symptoms of your current complaint and medical history.
Please print, complete and return a scan or good quality photo to forms@chirozone.co.uk before your appointment.Patient Consent Form – your consent to examination, treatment and email communications.
Please print, complete and return a scan or good quality photo to forms@chirozone.co.uk before your appointment.COVID-19 Declaration – online form which should be completed on the day of your appointment.
Procedures for face to face appointments – please read before you visit the clinic.
Patient Privacy Notice – our General Data Protection Regulation (GDPR) privacy notice..