Pre-Screening Quiz | New Wave Health Telehealth Consultation

Do you have a medical condition that has been causing you distress for 3+ months?

This helps us understand if you might benefit from our care.

Yes

Have you tried treating your condition with prescription medication or any other care methods?

We ask this to better understand your healthcare journey and provide the most appropriate care for your needs.

Yes

Did the treatment not help, or cause side effects?

Select the answer which best applies to your situation.

Yes

Are you currently pregnant or breastfeeding?

Yes

Have you been diagnosed with active psychosis or are you currently experiencing psychotic symptoms?

Yes

Have you been diagnosed with any cardiopulmonary disease (heart or lung conditions)?

Yes

Get Your Results

First Name

Last Name

Phone/Mobile

The information you are providing to us may include personal information as defined under the Privacy Act 1988 (Cth).

I consent to the collection, storage and use of my personal information in accordance with the Privacy Collection Notice. I understand that I can withdraw my consent at any time.

Yes, please keep me informed about products and services that may be of interest to me.

Thank you for your interest. Our services aren't the best match for your current healthcare needs.

Based on your responses, we are unable to proceed with our healthcare services at this time.
Currently, our services are best suited for patients who have:

An ongoing health condition (3+ months)
Tried previous treatments without satisfactory results

If you feel this assessment doesn't accurately reflect your situation, please contact us at [email protected] as we might be able to help.

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Get Your Results

Thank you for your interest. Our services aren't the best match for your current healthcare needs.