The Online Diagnosis

If you are unable to visit us, please complete our carefully constructed diagnostic questionnaire below.

If helping your condition is important to you, it is, therefore, important to fill out the form as comprehensibly as possible so we can offer the correct diagnosis and advise.

Need Support?

Call 020 7584 4255 for support with this form or to book a consultation with Richard Spencer.

Once the completed form has been received and revised by us, we will contact you to discuss the problem and advise accordingly.