Medical History Questionnaire

Medical History Questionnaire:

Prior to a scheduled new client consultation, please complete the online form below and click submit. You may also be prompted to update this form throughout your care within our service. As a Healthcare organisation we are required to collect and store accurate personal data and medical records for each client. South West Podiatry’s Terms and conditions are reviewed and updated from time to time.

Clinic locations:

We have several clinical locations and also offer online video consultations. Please see the about us section for further information.  *On-site diagnostic ultrasound is available at Earlsfield and Maidenhead only

How to book:

Schedule your consultation online click here:  BOOK ONLINE.  Alternatively, speak to our friendly booking team, Monday-Friday 9am-5pm: 02071646607.

Insurance and Fees:

We accept most major private medical insurance companies including BUPA, Vitality, WPA, Cigna, AVIVA and Simply Health. A full list of our consultation fees including self-pay can be found here:  Insurance and Fees

Booking terms and conditions:

By submitting this form, you agree to South West Podiatry’s booking terms & conditions and consent for South West Podiatry to securely hold your medical record.