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Level 6, 10 Bridge St Street, Sydney NSW 2000 9252 2825 www.quayhealth.com.auPODIATRY HISTORY AND INFORMED CONSENTABOUT YOU Name:Date:Preferred Name:Date of Birth:Address: Postcode: Phone (H):Mobile:(W):Email: Sex:MaleRelationship
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Quay Health is a multidisciplinary health clinic in Sydney, Australia providing services such as physiotherapy, chiropractic, massage therapy, and more.
Patients who visit Quay Health may be required to provide personal information for filing purposes.
Patients can fill out information about themselves either online or in person at the clinic.
The purpose of providing information about oneself at Quay Health is for accurate record-keeping and to ensure appropriate treatment and care.
Information such as name, contact details, medical history, and insurance information may need to be reported.
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