In order to provide you with the best quality service , Members of The College of Podiatry are required to be aware of any health concerns that may contribute, manifest in the feet or alter the treatment plan of the patients they are responsible for.
For your convenience the following form can be downloaded and completed prior to attending for your first appointment. Please email it back if possible prior to your appointment to firstname.lastname@example.org
This information is strictly confidential.
If there are any areas of concern not covered by the form please discuss this with your Podiatrist.