How did you hear about us
PRIVACY & CONSENT – No information is shared with anyone not directly concerned with your care without your express consent
I WOULD LIKE to receive text/email reminders for my appointments (strongly advised)
I GIVE CONSENT for my chiropractor to write to my GP about my condition
Note: The following boxes need to be checked in order for the form to be sent to us.
I CONFIRM that I HAVE READ and UNDERSTAND the PRIVACY NOTICE*
Please confirm you have read the Parker Clinic New Patient INFORMATION and CONSENT form. You can view the form
I CONFIRM that I HAVE READ and UNDERSTAND the COVID-19 PRACTICE POLICIES AND CONSENT FORM. You can view the form HERE*