At Phasicology we aim to maintain the highest standards of health and safety. Before we can commence any activity with you, we need to establish your current health and medical status. Details provided should relate to the actual person wishing to consume our services. Parents, guardians or carers should complete the details for those under 18 years of age. Please read each question carefully and answer each in full, with honesty and to the best of your knowledge. Failing to disclose any relevant information at this stage may have an impact on any fitness or treatment plans.

Please Contact Us if you have queries about completing this form.