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First visit questionnaire

First visit questionnaire

During your first visit with us, you must complete a medical questionnaire.
In order to speed up the whole process, we advise you to complete it at home.

    • All your data will remain confidential.
    • To download the form, please click on the following link.
    • After printing and once it is duly completed, please bring it with you on your first visit.

If you are unable to come to your first appointment, please contact us by phone at least 48 hours in advance.