Date & Time

Our clinic has introduced safety measures to protect our staff (and you) from coronavirus infection

So we need to ask you some questions:

• COVID-19 (novel coronavirus) – health advice for the general public
• How to protect yourself
• How to wash your hands properly

Who are you making this booking for?

Please give us your details as you are the person responsible for this booking

Personal details of person you are booking for

(The patient)

Family or Group of more than 3 people

We want to make things easy for you, so your family or group can come together at the same time to the clinic.

Please call us on 04 471 0201 and we will fit you in as soon as possible.

Discounts for groups may apply as well. We will tell you more during the call

Your contact details

Contact details for the booking

The contact details of the person that is doing this booking on behalf of another person.

Service details

Service details for person your are booking for

Summary