1
Appointment Booking
2
Your Information
3
Confirmation
Please provide us with some background information concerning your condition:
Where do you feel pain?
Foot and Arch
Lower Legs (includes knee and Ankle)
Upper leg
How long has your pain been bothering you?
Under 2 weeks
2 weeks or more
At what point during your day do you experience the pain at its worst level?
Morning
At Work
Evening
Please Rate your pain at its worst in the last 7 days
0 (Lowest)
1
2
3
4
5
6
7
8
9
10 (Highest)
Have you been diagnosed with diabetes, osteoarthritis or rheumatoid arthritis?
Yes
No
Is there anything from your medical history that we should know before your consultation appointment?
Cancel
