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On-line Medical History

 

Please be sure to complete your medical history on-line by clicking on the link below. You will be given a unique code that you will need to write down so that we can access your information prior to your consultation. Please be assured that there is no demographic information that is saved which means you medical history remains completely confidential.

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The form will take roughly 20 minutes to complete and will aid in spending less time on taking history on the day of consultation and more time on the treatment that will suit you best.

 

Your Medical History Link