Your Reflexology Treatment
Your Symptoms Feedback form can be completed online in just a few minutes – ideally within a few days of your appointment, so that the information you provide is correct at the time of your visit.
This form is optional, but should be used if you have been referred to Tracey by one of our chiropractors, or would like to share anything with her before your treatment.
Click on the links below to start completing your forms:
Symptoms Feedback – online form which should be completed before your appointment.
Procedures for face to face appointments – please read before you visit the clinic.
If this is the first time you are seeing Tracey, you must complete the Reflexology Consultation and Patient Consent forms. These 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.
Your Symptoms Feedback form can be completed online in just a few minutes – ideally within a few days of your appointment, so that the information you provide is correct at the time of your visit.
This form is optional, but should be used if you have been referred to Tracey by one of our chiropractors, or would like to share anything with her before your treatment.
Click on the links below to start completing your forms:
Reflexology Consultation Form – contact information, general state of health and conditions/symptoms.
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.Symptoms Feedback – online form which should be completed before 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..