Please click here to download the PDF Male/Female Health Questionnaire Forms.
The PDF is interactive, so the form fields within the PDF can be filled in on screen.

We suggest following these steps prior to filling in the form:

  • Step 1: Download the form by either clicking the download link, or right mouse click – then, Save As (desktop)
  • Step 2: Open the PDF into Acrobat, if you don’t have Acrobat it can be downloaded safely from HERE
  • Step 3: Fill in the interactive form fields as required
  • Step 4: Save PDF to your desktop

The completed form can either be attached to an email and sent directly to the Centre (please make sure your name and reference is marked clearly in the subject line, it should also be marked clearly for the intended recipient consultant) or alternatively, the completed form can be printed off and brought with you to your next consultation.