Please fill in the below form before your scheduled treatment.

I understand that Hesteyri Pain Solutions is not a replacement for conventional medical care, and will contact my GP when in doubt. All date collected will be treated in accordance to the GDPR policy, which can be found here: www.hesteyripainsolutions.co.uk/policy

I understand that there is a late cancellation policy, which can also be found here: www.hesteyripainsolutions.co.uk/policy

© 2020 by Jun Chow.

Jun Chow

CBS, ESEBT, BSc (Hons)

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