Online Consultations 

If you are travelling a long distance or cannot attend face-to-face we may still be able to help. Please fill out this “History sheet” as well as possible. If the information is good enough, we may be able to order a scan prior to a face-to-face appointment. This will save you both time and money.

Download PDF (Mac users)

Download Word version (Windows users)

Please type directly onto the forms, there is no need to handwrite. 

The .PDF can be edited using Preview if you are using a MAC

The Word version can be typed on directly and you can use ‘Insert shapes’ to draw arrows or circles on the pain drawing. 

Save and email to