KickStart Wellness Client Information Form

Before beginning any treatments it is very valuable for us to understand more about you and your body and where you are at this time, in order for us to tailor your treatment to bring you the best outcomes. Please complete the form below honestly in order for us to help you the most.

The information on this form is required for insurance purposes. It will be kept for 7 years as required by law and will be stored securely in accordance with GDPR. After this time, it will be permanently deleted. None of your personal information will be used for marketing without your prior consent, nor will any details be passed on to or sold for marketing purposes.