First Visit Forms

Patient Questionnaires

Pain Medicine or Pain Education Consultations, Menopause, Bladder Diary

In these days of medicine, one of the most important sources of information about you is often missing from your medical records: your own feeling or intuitions about what is happening with your body. We hope that the following information will help to fill that gap.

Please answer the following questions according to your true feelings, not according to what others think you should believe. You can email your completed questionnaires to info@whria.com.au or bring them along with you to your appointment at WHRIA

If you have a specific enquiry for our WHRIA specialists

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You can also complete the Mental Fitness Survey (K10) online

  • Do you want to be treated at WHRIA?

    For most of our services, we require a referral from your GP.

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    To find out more about your condition, please review our health information for facts on a variety of health topics

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  • Speak to us today

    If you'd like to speak to our staff directly about your health related questions, please feel free to contact us today. Your enquiry will be kept to the strictest of confidence.

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