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HAUORA
NEW CLIENT FORM


Before your first session with us, we ask that you complete our Hauora Form. This helps us understand your health history, current wellbeing, and any specific needs, so we can provide the safest and most effective care for you.

 

All information you share is confidential and supports us in tailoring your session to your unique journey. Please take a few moments to complete the form prior to your appointment.

Date of Birth
Day
Month
Year
Is this under an ACC claim, please check the box if it is an Injury or Sensitive Claim or you don't know
Are you suffering from a medical condition, illness, or injury?
Yes
No
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