If you are going for treatment at Sportsfyssen for the first time, you can fill out our health form here.By filling in the form in advance, your physiotherapist has the opportunity to be well prepared - and you have had time to think about the injury and the process before your treatment.

    Cpr number:
    (According to the Danish Agency for Patient Safety, all therapists are required to keep adequate records, which means we must use CPR no.
    Our mail system is encrypted and complies with regulations for handling sensitive personal data).

    Name

    Address

    Zip code

    City

    Phone

    Email

    Are you a member of "Danmark"?

    Do you have private health insurance?

    Injury/Issue

    The injury occurred due to

    How long since the injury

    Pain while resting

    Pain while active

    Do you exercie/what kind

    How many hours a week

    Did you change anything in your training during the injury/what?

    Previous injuries

    Do you suffer from/have serious injuries or illnesses, possibly old x-rays

    Do you take any medicine

    If yes, what kind

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