Please register for this website first, please put in an identifiable nickname and your real name, your real name will not be shown publically. When registering please provide your address, we may need to send information or even free stuff. If you are filling the form out while with the medical user please put your name in as the helper name.
Once you have registered, you can then proceed to the medical form section on this website, this will send the form to us, no information will be shared with anyone outside this site. The therapeutic form which when filled in will provide us with your current condition(s). This will allow us to assess your needs and have at hand the best information for you.
Once you have sent the therapeutic form out please contact us, you can phone Dark city on 0161 298 0298. We can call you back after you contact us, so that it does not cost you anything.
Click on the links below to fill in the forms
Feedback form |
The feedback form is for giving us feedback on yourselves and how your condition has changed. The more feedback you give us the more it helps others and us to give better information on specific conditions and the best way to use them.