Your body is designed to be healthy. There is always a cause or reason as
to why it is not. Throughout life many events occur that may damage
your health.
New patient history: ADULTS
Please fill in as much of this form as you can and tick where appropriate. All the information you supply will be handled in the strictest of confidence and is covered by out privacy policies. The answers will help us assess any layers of damage, particularly to your nervous system, that have adversely affected your health. An asterisk * means you must supply this information.