Mario Ciccone - Pain and Performance Osteopath

Barn Cottage, New Barn Lane, Seer Green, HP9 2QZ
Tel: 07518056355 | Email: info@mcpposteopath.co.uk
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Initial Consultation Form

Welcome to the Mario Ciccone Pain and Performance Clinic

If you have booked an initial consultation please fill out the following form as part of your initial appointment. The accuracy of your answers will help us better diagnose and treat you.

I look forward to working with you

Mario Ciccone, B. Ost, FAFS

  • Date Format: MM slash DD slash YYYY

  • Personal History

    Please answer the following questions about any of your previous injuries. It doesn’t matter how long ago it was or how minor it might have been. Any information will help.
  • Please attach any X Rays or MRI scans or any other document that you feel would be beneficial for me to view before our initial appointment

  • The following questions help us determine if levels of stress maybe contributing to your symptoms. Please feel free to talk about these with me in person if it makes you feel more comfortable.

  • Privacy Policy

    Thank you for taking the time to fill out this Intake form. This information is important to help us obtain an accurate clinical picture in order to inform an appropriate diagnosis and treatment plan. Please sign below to authorize that this information has been read and filled out completely and accurately to the best of your ability. You also authorize that our consultations will be carried out either face to face or via online tele consultations. All personal information shared during these consultations are strictly confidential and all information that is shared is protected under the Data Protection Act 2018.

Please download the Welcome letter below for directions and information on the clinic

Welcome-letter-Mario-CicconeDownload

Welcome to Mario Ciccone - Pain and Performance Osteopath

Located in Buckinghamshire and serving the communities of Chalfont, Beaconsfield, Amersham and Gerrards Cross we are a warm friendly practice dedicated in providing the highest standards of osteopathic healthcare with a personal touch that benefits you.

Our ethos is about getting your body to work as well as it can within calm and relaxed surroundings. We do this by applying a hands on patient focused approach that stimulates and releases your joints and soft tissues, helping to create an environment in which the body has a real chance to heal!

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Golf Performance

We strive to educate golf professionals and the playing public on the importance of the body and how it relates to the golf swing. We believe that golfers will benefit the most from a healthy and efficient body. Though there are an array of swing styles that we see we strongly believe there is one efficient way for every player to swing and it is based on what the player can physically do.

Our Philosophy

We provide a multi-disciplinary approach to your musculoskeletal and sports injury dysfunction. At the heart of our philosophy is a desire to better understand human body movement: how the body was made to function, and how it actually functions. We evaluate a person’s natural movement patterns to discover the source of an injury as opposed to treating symptoms. Our goal is to encourage clients to take responsibility for their life and well being.

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Contact Us

Barn Cottage
New Barn Lane
Seer Green
Beaconsfield
Bucks HP9 2QZ

Tel: 07518056355
info@mcpposteopath.co.uk