Consultation Form

When you have made your appointment, the next step for me is to establish your requirements and how I can help you. Before you have any treatment, I need to know your medical history and a little about your lifestyle, in order to select the most appropriate treatment for you. I have developed a consultation form which covers most of what I need to know.

In order to save time at your first appointment, you may wish to complete this form in your own time. That way, we have more time to spend on your treatment.

You can download a copy of the consultation form here.

All you need to do then is print it out, complete the form in your own time and bring it with you to your first appointment. Don't worry if you can't complete it all. We will look at it together before your treatment commences.

Please enter your name and the email address where you wish to receive the form.

By downloading this form you understand that I will have details of your email address. These details are always kept confidential and you can be assured that I will not disclose them to any third party. You also consent to receiving communication on this email address from Total Balance Ltd.

This information is not intended as a substitute for conventional medical diagnosis or treament. It is always advisable to seek the advice of your GP prior to making any changes. Please note that I do not diagnose or treat specific ailments or illnesses, rather I treat the person who may have imbalances in the body which manifest as physical discomfort or ailments. I make no claims that the therapies I offer treat or cure any specific health problems.The aim of the treatment is to allow the body to relax and rebalance itself.