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 

Issues picking the date? Instructions: -from left to right-: 1. Tap on month/year (red circle) 2. Tap on year (red circle) 3. Decade appears (red circle) 4. press left arrow to cycle though the previous decades 5. pick year of birth 6. Pick month of birth 7. Pick the day
Optional but not required
Optional but not required
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 ARMA guidance (27.01.2021) :
Did you answer yes to either of the two questions above regarding COVID vaccination?
If the answer is yes then you will need to delay the steroid injection as it might reduce your immune repsonse from 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:
I accept the terms and conditions as stated on this website and I have ticked all the declarations (square boxes)
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: 07870-304523

Form Submitted Successfully!

We will contact you as soon as possible.

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)


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