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Health Appraisal Questionnaire

      

Complete a HAQ

Your practitioner has asked you to fill out the Health Appraisal Questionnaire (HAQ) on this page. Please be aware that this form is 15 sections long and may take some time to fill out. To proceed please enter your practitioner's member number in the space provided, fill in your personal details and click the 'Start Health Appraisal' bar.

Patient Details

Practitioner member number
Patient Name
Date
Sex
 
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