Please try to answer the questions below as honestly as possible. The answers will help us provide the best care for you. These notes will never be released to any other person in any form without your express written permission. You can request a copy of all information we hold on you at any time. Remember you can leave any question you are uncomfortable with blank.
Please bear in mind that you will have been quoted a basic consultation fee to see the doctor or therapist. Sometimes blood tests or other procedures may attract extra fees and we want you to be clear about this to avoid a nasty shock! Typical costs of blood tests include HIV £50; syphilis £45 and swabs £40-65. Other test prices are available on request. We use the Doctors Laboratory.
Please download our consultation form, and please complete before arriving at the clinic. click here to download




