Pain Scale Recorder

Please fill out the following form to help us understand your physical condition.

First Name

Last Name

Current Pain Scale

Where do you feel this pain?

What does the pain feel like?

Today's Date

I declare that the info I’ve provided is accurate & complete

Thank you for submitting

THE CLINIC

Innovative Naturopathy is based in Holland Park West, Brisbane.

Directions will be provided with confirmation of your booking.

Opening Hours:

Tue-Fri: 8am - 3pm

Sat: 9am-3pm

Outside hour appointments available on request.

lorna @inatural.com.au

0426 132 131

Please note: this contact information is for bookings only. For other enquiries, please visit our clinic.

Lorna is registered member of the Australian Naturopathic Practitioners Association, Inc and SIBO Doctor Approved.