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You will need to print off the form in the link below and take to your spine radiographer; the instructions are clear and comprehensive and fees will vary from practice to practice.

Once completed, please send with your Health Passport to:


Maxine Murphy

Lodge Gates

Low Allenwood Farm


Heads Nook


Cumbria  CA8 9BA

You should send an A5 SAE envelope (same size as your Health Passport), with stamps to the value of £1.53 to cover the weight of the Passport, with your form (please do include those from other tests if they have been done). This will cover standard second class Royal Mail postage.

Your Passport and forms will then be verified, stamped, data-entered and returned to you.

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