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    New Patient Intake Form

    Thanks for taking the time to complete this form. All information provided will assist with your consult and subsequent recommendations from me. All details remain confidential.

    A deposit is required to secure your booking.

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    Pick a Date
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  • Informed Consent:

    I agree that I will be fully informed about my treatment and have all my questions answered to my satisfaction.  I consent to a physical assessment (if needed) and treatment plan as explained to me by Deborah Wright (practitioner).

    I understand that if I am unhappy with the treatment provided I can in the first instance address this with Deborah Wright (practitioner).  Alternatively I can contact an independent Health and Disability Advocate by phoning (04) 494 7900.

  • I have read & agree with the above INFORMED CONSENT. 
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