Remote Consultation Consent Email(Required) Please enter your email so you can receive a copy of the consent formConsultant(Required)Prof Lennard FunkProf Adam WattsMr Michael WaltonMr David MurrayMr Neil JainIName(Required) have chosen to have a remote consultation via telephone or video-conference with The Arm Clinic.I understand that this is not as comprehensive as a face-to-face consultation and a physical examination, and that investigations and treatment cannot be undertaken as part of a remote consultation. I can confirm that I will be available at the pre-allotted time for the consultation on the number given.Signature(Required) Reset signature Signature locked. Reset to sign again Date:(Required) DD slash MM slash YYYY Δ
