The Osteopathic Practice

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).

For children. (Approx 4 -16 years).
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 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.
You may be able to have hand-held Low-Level Laser instead. Please telephone the practice 01926 335932 for advice.

Jane O'Connor & Associates

Data Protection

Data protection and the storing of patient notes – a new ruling from the Information Commissioner’s Office.

It has been the Osteopathic Practice’s policy to destroy patient notes if a patient has not attended for treatment for over 12 years, and children’s notes were retained indefinitely.


The Information Commissioner’s Office (the public body responsible for ensuring data protection compliance) has informed our Osteopathic governing body that patient records must not be kept for longer than is necessary.

Osteopaths are now no longer able to keep patient notes indefinitely if a patient has not attended for treatment.
Following new Osteopathic best practice guidelines, patient records can only be kept for 8 years following their last treatment and children’s records until the child reaches 25 years of age.
If you have not attended for over 8 years you will need to fill in a new patient questionnaire if your original notes have been destroyed.

Make an Appointment

The Osteopathic Practice is easily accessible from Warwick, Coventry, Rugby and Kenilworth, so call us on 01926 335932. You don’t need to be referred by your GP unless you’re claiming back your costs under a private health scheme.