Medical Questionnaire

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Contents

There are two questionnaires to choose from . The choice depends on your answer to this question:

"Have you sent me your questionnaire and received advice from me before?"

NO - therefore Full Medical Questionnaire needed

  • If your answer is NO, then you need to complete the Full Medical Questionnaire. You can download this in one of two formats:
    • Download in DOC format. Use this if you want to fill in your questionnaire on your computer[1]. Download this to your computer and fill it in. Don't forget to copy / paste in details of the test(s) you require at the bottom of the form before you save it on your PC. Return to me by attachment to an email.
    • Download in PDF format. If you prefer to fill in the questionnaire by hand then print off this PDF document[2]. Fill in your details, then fax or post this to my office.
  • The completed questionnaire and your payment will constitute your order.

YES - therefore Short Medical Questionnaire needed

  • If your answer is YES, then you do not need to fill the full questionnaire. However, I will still need some information from you. Please, complete the short medical questionnaire. Again, you can download this in either DOC [1] or PDF[2] formats.
  • Follow the above instructions for saving the questionnaire and adding test order details.

Notes

  1. 1.0 1.1 You can use any word processor that can work with Word 2000 compatible DOC files such as Microsoft Word, Windows Wordpad, OpenOffice.org Writer
  2. 2.0 2.1 You will need a PDF compatible viewer installed on your PC to view and to print PDF files such as Adobe - Adobe Reader

 


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