T&C and Privacy Policy

By signing this form you are stating that:

• The information I have provided is true and correct.
• I consent to my treating clinician at Alchemy in Motion contacting my GP or relevant specialist to discuss my treatment and medical management if required.
• I consent to Alchemy in Motion being able to contact Medicare on my behalf to discuss my Chronic Disease Management Plan if applicable and necessary.
• I consent to receiving marketing related communication from Alchemy in Motion via email and understand that I can unsubscribe at any time.