Before you can be seen for an assessment or services, the following forms must be completed and returned to Dr. Meyer.

  • HIPPA form
  • Consent to treat
  • Release of Information form (if applicable)

 

Legal Notice

Name of company

Please enter your company name

 

Registered office

Please enter your registered office

 

Contact details

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Business ID no.

Please enter your business ID no.

 

VAT no.

Please enter your VAT no.

 

Regulatory authority

Please enter you regulatory authority

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