Treatment details
Booking details
Date
Time
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Your details
First Name
Surname
Phone Number
Email
Date of Birth
Address Line 1
Address Line 2
Address Line 3
County
Post Code
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Terms and Conditions
We require your signed consent to communicate with you throughout your patient journey. This includes confirmation of appointments, reminders, sending consent forms and other important communications pertinent to your consultation and/or treatment(s). Occasionally we would like to send you information about our products, services and offers by telephone, email and SMS. Please confirm your communication preferences below. We will not pass your details onto any 3rd parties without your consent. However, in the instance of an emergency situation, you agree for us to communicate with the relevant allied healthcare professionals and share your personal information with them. We may also need to contact your next-of-kin with the details you provide in an emergency scenario.
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