New Patient Telehealth Appointment

If you are a New Patient to the clinic and you have been recommended to us by your GP please fill this form out electronically (using fill & sign Adobe Acrobat Reader) before your appointment or if you are self referring please fill this form. For information on what you need to know before giving your consent to our advice and self treatment please read this.

Please send to reception@back-in-action.com once you’ve completed it. If you have any problems please contact us for some help. In the mean time if you want some self help advice to ease your pain please check here.

 

From the Preston Chiropractor Team
Getting You Back in Action & Enjoying Your Life Again
Serving the people of Preston and surrounding areas including Southport and Lytham St Annes