Jane O'Connor & Associates
Our Questionnaires
Please print out the appropriate document, complete it in as much detail as you can and bring it with you to your first consultation. THANK YOU.
New Patient Questionnaire
For adults (Approx 17 years and older).
Children's Questionnaire
For children. (Approx 4 -16 years).
Re-Examination Questionnaire
If you are already a patient at this practice but have not attended for over 2 years, please fill in this shorter questionnaire, so that we can keep your notes up to date.
NovoTHOR
NovoTHOR Questionnaire: If you do not require Osteopathic treatment but wish to have NovoTHOR therapy ONLY, please fill in this questionnaire and bring it with you to your first appointment.
You CANNOT have NovoTHOR if you are pregnant, or if you have an active cancer, or are receiving chemotherapy or radiotherapy.
Sports Massage Questionnaire
For adults (Approx 17 years and older).
