Please complete and return this form to me prior to your first appointment. It will give me an outline of the reason for attending and your general health so that I can provide you with the most appropriate care and treatment. All information will be kept confidential. I look forward to meeting you in clinic. Barry 

(in case of emergency)
(in case of emergency)
Please describe your job in terms of physicality, are you desk bound or on the move?
e.g. to be pain free, to run a marathon, to get back to team sport etc.
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