top of page

Paperwork for you to read and sign

Regardless of what treatment or event we are coming together for, the health declaration on this page is legally required to be filled in before we meet. Please be aware that if we are on location and for some event venues, WiFi may not be accessible. Once you have booked or have confirmation of an appointment, completion of your declaration is highly advised.

​

Once we receive this form, we will get in touch - please know that depending on your activity, there may be an additional bit of paperwork for you to complete. If this is the case, there will be a link included in our reply.

​​​

Please complete the form below, ensuring you click the 'submit' button

Health Declaration

Please fill out the following form.

Date of birth
Day
Month
Year
Have you been in hospital or had surgery over the last 2 years?
No
Yes
Is there a possibility that you are pregnant?
N/A
Yes
No

Please read the following list and tick anything that is applicable.

Declaration Signature
I declare that the following represents my digital signature
Please select if you wish to be added to our mailing list. Newsletters are few and far between, only containing advance notice of upcoming events and a few pretty pictures of what we have been up to.
Yes please!
bottom of page