Answer a few questions to help us understand how we can best support you.
Quick 60-Second Assessment
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This helps us understand if you might benefit from our care.
You must have tried other treatments before you can be considered for our care.
Select the answer which best applies to your situation.
The information you are providing to us may include personal information as defined under the Privacy Act 1988 (Cth).
I consent to the collection, storage and use of my personal information in accordance with the Privacy Collection Notice. I understand that I can withdraw my consent at any time.
I agree to the terms and conditions
Yes, please keep me informed about products and services that may be of interest to me.
Based on your responses, we are unable to proceed with our healthcare services at this time. Currently, our services are best suited for patients who have:
If you feel this assessment doesn't accurately reflect your situation, please contact us at [email protected] as we might be able to help.
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