New Patient

New Patient Paper Work

We offer our new patient form online so it can be finished in the comfort of your own home or office.
In order to gather all the information necessary to help you best, we ask that you fill out our initial paperwork. This form outlines your current problems and asks questions about your health history and profile. You can complete this form in our office before your appointment if you choose, otherwise, if you have a busy schedule, you can complete your initial paperwork prior to your appointment, by downloading and printing the form below.
  • All forms are PDF files. You will need AdobeReader to view them.
  • If you do not already have AdobeReader® installed on your computer, you will need to download it.
  • Download the necessary form, print them out and fill in the required information.
  • Email us your completed form or bring them with you to your appointment.

New Patient

Special Offer

Let’s start with a complimentary consultation (clinical history). If we can help, you can proceed to a paid examination (postural, neurological and orthopaedic examination).
Book Appointment

Contact Info

  • 21 Hesse Street
    Winchelsea, VIC 3241
  • Phone : 03 5267 2240
  • Email :
Call Today to Schedule Your Complimentary Consult with Dr. Emily. We'll Let You Know if We Can Help You. If Not, We'll Let You Know Who Can.

Call Us on (03) 5267 2240 To Schedule