Informed consent for injection therapy

Clinical informed consent form

Please complete our clinical information and injection consent form before any treatment takes place.

Injection Informed consent

Clinical information and informed consent 

Date picker instructions: 1. Click in the date field. 2. Double click on the month and year shown above the calendar 3. You now see a year range i.e 2000-2009 4. Click on the arrow to the left to cycle through the decades 5. Once you found your decade then click on your year of birth 6 .Click on the month of birth 7. Now select the day
Only required if you opted to have the report send to your GP
Only required if you opted to have the report send to your GP
Max File Size: 5MB · Allowed File Types: jpg,png,pdf,docx,doc
Max File Size: 5MB · Allowed File Types: jpg,png,pdf,docx,doc
Max File Size: 5MB · Allowed File Types: jpg,png,pdf,docx,doc

COVID-19 and steroid injections

Steroid injections may temporarily reduce the immune response to the COVID Vaccine.
Please click here for the detailed and regularly updated ARMA (Arthritis and Musculoskeletal Alliance) guidance : http://arma.uk.net/covid-19-vaccination-and-msk/
Scroll down the ARMA webpage to item 13 which is the guidance on steroid injection and the COVID vaccine
Did you answer yes to either of the two questions above regarding COVID vaccination?
The steroid injection should be delayed. In order to mount good immune response following the COVID vaccine a steroid injection should not be carried out two weeks before or in a period of two weeks after the COVID vaccine.

COVID -19 declarations

Please read the following COVID-19 specific declarations and confirm you have read and agree with each one by checking the box for each: (agreeing with the declarations by ticking the boxes is recommended /advisable but is at your personal discretion)
I accept the terms and conditions as stated on this website and I have ticked all the declarations (as is recommended but not compulsary) .
Please write your signature in the box above
 Please make sure that all the required (*) fields have been completed otherwise the form will not submit !

If you have problems submitting the form then contact us on: 07999 923844

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Injection information leaflets

Please see below a patient information leaflet discussing the additional risks of having steroid injections during the COVID pandemic published (23.10.2020)

Physiotherapy

Meet Rob - Our Specialist Physiotherapist/ Sonographer

Rob is a specialist Extended Scope Physiotherapist with more than 20 years experience in managing complex musculoskeletal conditions.

He uses diagnostic ultrasound as an extension of his clinical skills.  He is an interventional sonographer in a busy radiology department of a central London Foundation Trust Hospital .

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Find out more about Rob