Admission Form

Interesting Image

0=No Pain

10=Extreme Pain



Additional Information for Exercise Physiology Patients

Do you currently or have you ever experienced any of the following? (Please tick)

0=No Pain

10=Extreme Pain


Social Media Consent: Your case or information may be recorded and any recording or photograph(s) resulting from the recording, and any reproductions or adaptations of the written material, film and or photograph(s) can be used for all general purposes in relation to Enriched Health Care’s work including, without limitation, the right to use them for educational purposes, as well as for advertising, press releases and for use on the Enriched Health Care’s website and social media.