Stonehouse Podiatry | Medical History Form

Your Details

Your Doctors Details

Your Medical History

Do you have or have you had any of the following. Please indicate with Yes or No and provide any additional information below

PATIENT CONSENT TO CARE AND TREATMENT

I understand that a Podiatrist will advise and treat me and may contact me to follow up on treatment. I confirm that I am aware that Podiatrists may use sharp medical instruments including nail nippers, scalpels, files and burrs.

32 Mary Seacole Rd,

Stonehouse, Plymouth

PL1 3JY

07933032652

mick@stonehousepodiatry.co.uk

On Site Insole Manufacture

I make some insoles on-site. These vary in the method of construction from very simple insoles made from templates to functional orthoses made by vacuum forming thermoplastics over modified casts of your feet. A range of materials are used including EVA, Poron4000, Acrylics and Carbon Fibre composites.

General Chiropody

Nail cutting
Corn and callus removal
Ingrowing nail treatment
Fungal nail treatment and athletes foot
Treatment of infections

Biomechanics

Musculoskeletal podiatry aims to assess lower limb function and alignment.

Medical History Form