Patient Forms

During the Covid 19 Pandemic, in order to reduce contact time with patients, we are asking patient's to complete, Medical History and Consent Forms at home.  You may have been sent a link with your appointment reminder or confirmation to this page.

Please could all patients complete and sign the: 

  • Podiatry Consent Form during CV-19

If you are a new patient, or your medical history/medications have changed, or you have not had an appointment in over a year, please complete and sign the: 

  • Podiatry Consent Form during CV-19 and the

  • Medical History Form.

Then if possible scan or photograph and return by email or text to:

waterhousepodiatry@gmail.com

Tel: 07437 015754

You may also bring your completed forms with you  at your appointment.  

Alternatively, I have paper copies of these forms and you may complete these at your appointment.

Podiatry Consent Form during CV-19

Please could all patients complete (includes new patients, and those who have attended previously).

 

Medical History Form

 

Please complete  if:

You are a new patient, if  your medical history/medications have changed, or you have not had an appointment in over a year.

 

Wendy Waterhouse

HCPC Registered

Make an Appointment
Find us 

Waterhouse Podiatry & Chiropody

Due to flooding in February 2020, we are temporarily working from:

Hebden Bridge Town Hall

St George's St,

Hebden Bridge

HX7 7BY

Tel:  07437 015754

waterhousepodiatry@gmail.com

 

This site was designed with the
.com
website builder. Create your website today.
Start Now