Welcome to the Flouria intake. The purpose of this form is to better understand your symptoms and learn about your medical history. Based on this form you will be invited for the Flouria care path. It's important you fill out this form honestly, so we can offer you the right and high-quality care.
Completing the form takes about 10–15 minutes. It is sent in encrypted form, and your data will not be stored longer than necessary.
You can keep this short. As preparation for your first consultation, we will extensively ask about your symptoms.