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    We’ll only contact your GP if necessary. If you don’t want us to contact your GP, then don’t provide their details

    Circle a number that best describes your TYPICAL/AVERAGE PAIN TODAY?

    If you have more than one complaint write the individual complaint next to the number you circle. For example if you have neck pain which is roughly 5/10 and low back pain which is 9/10 then write:

    Are you in pain?

    We can help
    Call your Eastbourne Chiropractor on
    01323 722499