Consent Form

Consent

Your Full Name

Your Date of Birth

Your Email address

Do you consent for us to hold your data? We will not share this with any third parties, except on your request, the request of your insurance company (if applicable) or should your therapist need to contact your GP. Is this ok?

Yes

Are you happy for us to contact you with the details you have provided? We will only contact you about your appointments or for any account enquiries.

Yes

Would you like us to contact you with updates about the clinic by email? Including latest offers and information that we feel may benefit you?

Yes

Book now!

Latest news

20 June, 2025

In Loving Memory

It is with great sadness that we write to share the heartbreaking news of the sudden... Read more >

> All news

Facebook

This message is only visible to admins.
Problem displaying Facebook posts. Backup cache in use.
Click to show error

Error: (#200) Provide valid app ID Type: OAuthException

> View all posts

"I love that Keith and his team always do a great job of, quite literally, getting me back on my bike as soon as possible!"

Jo Rubery, Marketing manager and mountain bike guide

Testimonial birds illustration, one with a broken wing, the other with a clipboard.

Keith James Physiotherapy

Bristol based clinic

Professional, holistic, targeted and results driven
Call us today on 0117 330 6820

Consent Form