East Neurology — Holistic Neurological Care
Autonomics Australia — Expert Autonomic Testing

Patient Pre-Intake Form

Hypermobility & Joint Laxity Screening

Step 1 of 4About you
Section A: About you

Enter the details below so the clinic can securely match this questionnaire to your appointment.

Your Genie ID is in the SMS or email we sent you.

No patient name or contact details are collected.