MAKE A CONSULTATION BOOKING

The Good Health Room has various options for consultations.

How Can We Help?

Women's Health

Digestive Health

Mental Health

Children / Teen Health

W.O.F.

Step One

Please book a consultation appointment that applies to your age range and most relevant health goals (see below).

We understand there will be additional areas of health you will be interested in discussing – which we will do on the day of your consult whichever option you choose.

If unsure, then please book the consult that relates 'most' to your health goal and we can easily adjust payment on the day.

BOOK A CONSULTATION

Step Two

Complete the quick Pre-Consultation Form below no later than 24 hours prior to your appointment.

Step Three

Please download and complete our Food and Mood Diary form prior to your appointment (18+ age required only). Please log at least 3-4 days of information (if possible).

FOOD & MOOD DIARY pdf

Step Four

If possible, please contact your GP's reception to retrieve blood tests taken over the last 12 months. Please print copies or email if you have access to ManageMyHealth.

Email to: info@thegoodhealthroom.co.nz

If this is difficult to do, then please book and we can discuss more at your appointment. Please bring a list of supplements, medications and over-the-counter products you currently take.

Pre-Consultation Form

Please fill out the below form and send to The Good Health Room at least 24 hours before your consultation. Please fill out basic questions on behalf of your child/teen consultations and note N/A where not required.

NOTE: The form will not send until ALL questions are answered.

Date

Name

Address

Contact Phone

Date of Birth

Height

Weight

Blood Group (if known) – AB+/AB-, A+/A-, B+/B-, 0+/0- (universal donors) or write 'don't know'

Occupation

GP's Name

GP's Clinic

What is/are the main reasons for your appointment?

If you have blood tests available, please email before your appointment to: shona@thegoodhealthroom.co.nz

What medications do you take and have taken in last 5 years (incl over-the-counter products)? Roaccutane (acne), HRT, Anti-depressants, BP / cholesterol etc (please list or write 'none')

What supplements do you currently take / have taken within the last 3-6 months? (or write 'none')

Have you had antibiotics within the last 2 years – how many times and for what reason(s) (if you can remember)?

What vaccinations have you had? (None, Covid, Childhood (part/full), Flu, Travel (pls state if poss), HPV

Do you have a medical diagnosis(es)? (please state or 'none')

Have you ever had any surgeries? (please state)

Have you ever had a miscarriage and/or abortion?

Have you had any of these removed (tonsils, adenoids, hysterectomy (uterus only/full), gallbladder, appendix, other)?

What dental procedures have you had? (Wisdom teeth / Amalgams fillings removed, root canals, crowns, other)?

Have you ever worked with/around chemicals or sprays? (nail technician, nursery planting/farming/orchards, mechanic, hairdresser, building/shop-fitting, panelbeater, chemist)

Have you ever smoked? (Yes currently, no, recently stop, in the past)

Have you ever had glandular fever, bronchitis, or pneumonia? (please state)

Do you think you are intolerant to any foods/drinks? (Dairy, gluten, refined sugar, caffeine, alcohol, seafood, sulphites, nightshade veges, garlic/onion)

Do you have any allergies? (Environmental (tree/flower pollens/grass), dog/cat fur, bee stings, food allergies, other)

Do you have any skin issues? (Eczema, Psoriasis, hives, acne, rashes, other)

Do you have any fungal infections? (skin, toes, fingers)

What are your energy levels like (in general)? 1 (low) - 10 (great)

Have you ever been / are anaemic (low iron levels)? (yes/no)

How high have your stress levels been (in general) over the past 6-12 months? 1 (low) – 10 (high)

Is there any other information relating to your health, you would like to add? (write 'none' if not)

Are you interested in testing for intolerances and food sensitivities? (this is not an allergies test).

Are you interested in a Functional Test(s)? (this can be discussed more at your consult if 'yes')

What kind of Consult would you prefer?

How did you hear about The Good Health Room?

Are you happy to receive a monthly newsletter? (Yes/No)