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(07) 3861 5881

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Services
Health Challenges
Locations
Practitioners
Prices
About
Contact

(07) 3861 5881

Services
Health Challenges
Locations
Practitioners
Prices
About
Contact

Services
Health Challenges
Locations
Practitioners
Prices
About
Contact

Book Online

Patient Profile

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Last updated on 4 June 2024 by Brisbane Livewell Clinic Editorial Team

Full Name

Preferred Name

Address

Suburb

State

Post Code

Email

Mobile

Home Phone

Marital Status

Birthdate

Weight (kg)

Height (cm)

Are You Pregnant

Yes No

How Many Weeks?

Emergency Contact Person

Emergency Phone

Medications (Please select any that apply)

Antacids Laxatives Thyroid Medicine Lithium Radiation Therapy Pill or HRT Insulin Aspirin/Panadol Antibiotics Ulcer Medicines Chemotherapy Anti-Inflammatory Heart Medicines Sleeping Pills Anti-Depressants

Other

Heart Practitioner Details

Doctors Name

Location

Phone

Presenting Health Problems

Symptoms

What Aggravates Your Health Problems?

Previous Health Problem and When It Started

Have you been immunised against or had the following diseases/condtions: Please select all that apply:

Measles German Measles Mumps Chicken Pox Pertussis Diphtheria Polio Tetanus Influenza Asthma Eczema Unsure Other

Medical Concerns

Digestion Bowel Small Intestine Liver Gallbladder Kidneys Bladder Thyroid Adrenals Immune System Blood Sugar Circulation Heart Disease Blood Pressure Reproductive Bone Integrity Muscle Problems Stress Anxiety Depression Insomnia Fatigue Weight Issues Diabetes Arthritis Allergies Skin Conditions Cholesterol Alcoholism HIV Aids Hepatitis A B C Sexually Transmitted Disease Hyperactivity Asthma Lung Disease Eye Disorders Hearing Disorders Sinus Problems Cancer Depp Vein Thrombosis Other

Surgical History

Injuries from Accidents and/or Emotional Trauma

Allergies/Intolerances: Please select all that apply

Drugs Animals Chemicals Herbs Plants Food Insects Occupational Pollen Other

Risk Factors: Please select all that apply

Smoke Tobacco Drink Caffeine Had Blood Transfusions Cholesterol Insomnia Workplace Stress Sedentary Lifestyle / Unfit Use Recreational Drugs Drink Alcohol Blood Pressure Problems Obesity Emotional & Mental Stress Home Stress

Informed Concent

I acknowledge that all stated above is true and correct to the best of my knowledge and ability

Or book a FREE 15-minute consultation with our Clinic Manager to discuss which Health Modality and Practitioner is best for you

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Find an Answer to Your Health Challenges

Your top Naturopath & Wellness Centre in Brisbane

Two easy-to-reach locations near Brisbane City CBD – Wavell Heights (North Brisbane) and Cannon Hill (South Brisbane)

Free off-street parking | Disabled access

Please note that, while our opening hours are within the below times, we may not have a staff member on Reception. Please call ahead if you need to drop in to either Clinic, to make sure we can help you

Wavell Heights Clinic

1/52 Jeffcott St, Wavell Heights QLD 4012
(07) 3861 5881

Opening Hours

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

8 am-8 pm
8 am-8 pm
8 am-8 pm
8 am-8 pm
8 am-8 pm
9 am-4 pm
Closed

Cannon Hill Clinic

Shop 1/18 Pickwick St, Cannon Hill QLD 4170
(07) 3899 6911

Opening Hours

Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday

8 am-8 pm
8 am-8 pm
8 am-8 pm
8 am-8 pm
8 am-8 pm
9 am-4 pm
Closed

www.brisbanelivewellclinic.com.au

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Brisbane Livewell Clinic (Wavell Heights)

Brisbane Livewell Clinic (Cannon Hill)

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The best Naturopath & Wellness Centre in Brisbane. Established in Brisbane in 1979. Trusted by over 50,000 patients for 46+ years.

Disclaimer

The information provided on this website is for educational purposes only and is not intended as medical advice. Please consult your healthcare provider before making any health decisions. Our therapies complement, and do not replace, medical treatment. Discuss any proposed treatment or therapy with your GP before commencing. Please read our Disclaimer for more information.

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Brisbane Livewell Clinic (Wavell Heights)

Brisbane Livewell Clinic (Cannon Hill)

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(07) 3861 5881

Brisbane Livewell Clinic is the top Naturopath & Wellness Centre in Brisbane, Queensland, Australia.

We have physical Clinics in Wavell Heights and Cannon Hill + online videoconference. We are the longest-running Health and Wellness Clinic in Brisbane, founded in 1979.

Our trusted holistic health practitioners will support you to restore your health, reclaim your life and rediscover wellness.

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