This form is to be completed alongside your request to see Wayne (our High Performance Physio). To complete this form, you must be a listed member of a High-Performance Squad.
You only need to complete this form once, but please ensure that your Captain is aware of the number of sessions that you have had with Wayne.
This process will enable us to keep track of who is using the service, and which Clubs are engaging best.
Please note that all submissions of this form will only be viewed by the High Performance Programme staff lead and the High Performance Programme contracted Physiotherapist. All information will be stored in line with GDPR regulations.