Forms

New Patient Form

Hello and welcome to Sports and Structural Podiatry! To streamline your experience with us, please complete the ‘new patient form’. 

If this is not convenient, please come in 10 minutes early so you have plenty of time to fill out a paper copy in the clinic before your consult.

Refer a Friend Promotion

To say thank you to our patients, we would like to offer a discount for sharing your friends with us. For each new patient you refer to us, you receive a $20 credit and so does your friend. Click on the link below and print as many vouchers as you would like to share. Once your friend has their first consultation with us, we will add your credit to your account.

Terms and conditions

• Open to existing patients of Sports and Structural Podiatry who refer a new patient to the clinic.
• Your friend receives $20 off their first consultation. You receive a $20 credit on your account once your friend has had their first consultation.
• One $20 credit per new patient referred. Each new patient can only be referred once.
• Credits must be used within 12 months, are not redeemable for cash and cannot be transferred.
• The discount reduces the fee charged. Any health fund claim is based on the reduced fee.
• We may change or end this offer at any time. Any change will be shown on this page.

Pain Report/Pain Diary

Sometimes pain can be hard to explain, so maybe this will help! Simply print it out and answer the questions when your symptoms come along.  This can give us important clues to pick the right treatment options for you.