Course Registration Form

Email
example@example.com
Painful joint - select at least one of the following*

Left kneeRight KneeLeft HipRight Hip
Select general practice name*
GP name: *
Type in your doctors Name
Have you had an X-ray to confirm Osteo Arthritis in this joint/s*

YesNo
If yes, date (if known) of X-ray and done in private or public
Your GP may be notified to verify the information you provided and you are medically safe to participate in the programme. They will also be notified once you have completed the programme.
Should be Empty:

Osteo Arthritis (OA) Programmes