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Chiropractic Centre
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Request an Appointment
Request an Appointment
To book an appointment, please phone 09 526 2100 or complete the form below.
Chiropractic Centre
6 Harrison Road, Mt Wellington, Auckland
Phone: 09 526 2100
Appointment request form
Pre-Appointment COVID-19 Screening
To ensure we operate in a safe environment whilst we deliver chiropractic care, please answer the following screening questions related to COVID-19.
In the past 14 days, have you had a respiratory infection with any of the following symptoms?
(Required)
Cough Fever Shortness of breath Sore throat Sneezing Runny nose Loss of sense of smell or altered sense of taste
Yes
No
In the past 14 days have you:
(Required)
Received a positive COVID-19 test result, or Been tested for COVID-19 and is awaiting results, or Had contact with a COVID-19 case
Yes
No
If you have cold, flu or COVID-19 symptoms, please stay home and call your doctor or Healthline on 0800 358 5453 for advice about getting tested. We will have to defer your appointment according to Ministry of Health guidelines. Please contact us on 09 526 2100 to schedule an appointment at a later time.
Your Contact Details
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Preferred date
(Required)
DD slash MM slash YYYY
Preferred time
Hours
:
Minutes
AM
PM
AM/PM
Student Intern Name (if known)
Comments (optional)