See what is included, what happens next and what you remain in control of.
Online Forms • A Smoother First Visit • Clear Next Steps
Complete your forms.Arrive ready to feel better.
A little preparation now can make your first visit smoother, calmer and more useful. Complete your online intake forms before you come in so Dr. Eric can review your history, understand your goals and help you move toward a healthier, fuller life with more clarity.
Your visit, made clear
Consultation, examination and posture scans.
Understand the recommendation before deciding.
Your Next Step
Less paperwork at check-in
Walk in feeling ready instead of rushed.
More time focused on you
Less admin. More time for your story, questions and goals.
Better preparation for Dr. Eric
Your history helps the clinic understand the bigger picture sooner.
A calmer start to care
Confidence grows when you know what to do next and what to expect.
Fill out your online forms before your visit.
If you already know you want answers, this is the most useful next step. Completing your intake form ahead of time saves time at the clinic, helps Dr. Eric prepare more thoroughly and makes your visit feel less rushed, more personal and more focused on helping you get back to a better life.
Choose The Form That Fits
Where are you in your patient journey?
You do not need to guess. Choose the description that sounds most like you, and the correct form will open directly below—inside this page.
Not sure which form?
Call (021) 482 4450. The team can point you to the right one.
Complete online
I am new to the clinic
Use this before your first appointment so Dr. Eric can understand your health history, symptoms, concerns and goals before you arrive.
1
Time to allowAllow about 10–15 minutes
2
What to doComplete and submit online
3
Why it mattersIt gives the clinic more time to understand you—not just process paperwork.
What happens next?
Once submitted, your information is ready for the clinic to review before your visit.
New Patient Consultation Form
Open full size
Opening your formThe selected form will appear here in a moment.
The form opens inside this page. If your browser does not display it correctly, use the full-size version instead.
Complete This Form1Choose the form that matches where you are today.
2Complete it before your appointment whenever possible.
3Arrive with less paperwork—and more time focused on you.
Simple & Clear
After you choose your form, the rest stays simple.
Complete what applies to you, bring any useful records and arrive knowing the clinic has a clearer picture before the conversation begins.
Complete the form
Fill out your online intake form before your visit so the clinic can review your history and goals ahead of time.
Come in prepared
Bring any relevant scans, reports or medication information, and wear comfortable clothing for movement assessment.
Get clarity on the next step
Your visit is designed to help you understand what may be going on and what the next best step could look like.
The €39 New Patient Experience
Get clarity, feel hopeful and know the next best step.
Your €39 New Patient Experience includes consultation, examination, digital posture scans, a doctor’s report and a personalised corrective plan. The goal is not pressure. The goal is understanding—so you can stop guessing and start moving toward a healthier, more comfortable tomorrow.
Completing your online forms first helps Dr. Eric spend less time on admin and more time understanding your story, your goals and what may help next.
- More time focused on you
- Clearer answers about what may be going on
- A more confident next step after your assessment
Dr. Eric Kelly • 20+ years of clinical experience
Before You Arrive
A short checklist for a smoother visit.
Keep it simple. Here is what matters most.
Complete your intake form
Use the online forms page before your appointment whenever possible.
Bring relevant information
Bring scans, reports or notes that relate to the issue you want assessed.
Wear comfortable clothing
Choose clothing that makes it easier to move comfortably during assessment.
Think about your goals
What do you want to get back to doing more easily, more comfortably or more confidently?
Need help with the form?
If technology is not your favourite thing, no problem. Call the clinic at (021) 482 4450 and the team can help point you in the right direction.
Frequently Asked Questions
Questions people often ask before filling out the form.
Where do I complete the forms?
Use the online forms link on this page. It opens the current intake page so you can complete your details before your visit.
Can I complete the form on my phone?
Yes. Most people find it easy to complete on a phone, tablet or computer.
What if I need help with the form?
Call the clinic on (021) 482 4450. If you need a hand, the team can help guide you.
What should I bring besides the form?
Bring any relevant medical or imaging information, a medication list and practical clothing for movement assessment.
Do I need a GP referral?
A GP referral is generally not required.
Will the visit feel salesy or high pressure?
No. The purpose of the visit is clarity—understanding what may be going on and what the next best step could be.
Am I committing to ongoing care by filling out the form?
No. Completing the form simply helps the clinic prepare for your visit. You can decide what you want to do after you understand the findings and recommendations.
What should I do if my symptoms are severe or rapidly worsening?
Seek urgent medical assessment for severe weakness, loss of bladder or bowel control, major trauma, sudden neurological changes or other emergency warning signs.
20+
Years of Clinical Experience
Dr. Eric Kelly
Chiropractor · Glanmire, Cork
Meet Dr. Eric Kelly
20+ years of experience—and the time to understand your full picture.
Dr. Eric Kelly takes the time to hear what is happening, assess how you move and explain what he finds in plain language.
Your first visit is designed to replace guesswork with a clear understanding of the problem, the findings and what Dr. Kelly recommends next.
Consultation + examination
Movement + posture review
Findings explained plainly
Recommendations built around your goals
Patient Reviews
Real experiences. Real words. Real confidence.
Read what patients say about the welcome, the explanation, the thoroughness and the care.
Eastcliffe House · Glanmire, Cork
Find us at Eastcliffe House, Glanmire.
Conveniently located at Eastcliffe House for patients from Glanmire, Sallybrook, Glyntown, Little Island, Cork City and the surrounding area. Open directions before your visit.
ClinicGlanmire Chiropractic Clinic
AddressEastcliffe House
Glanmire, Co. Cork T45 PY95
Glanmire, Co. Cork T45 PY95
Phone
(021) 482 4450
Office HoursMon–Thu: 8:15 AM–12:00 PM
Afternoon: 2:15 PM–5:00 PM
Friday: Closed
Afternoon: 2:15 PM–5:00 PM
Friday: Closed
Ready When You Are
You deserve to feel better in your body.
Book your €39 visit with Dr. Eric Kelly. Tell him what is happening, complete a thorough examination, review the findings and decide what care makes sense for you.