Registration Form

Thank you for your appointment request. Please fill out your details on the registration form below. The questions marked with an asterisk * are mandatory. The registration form should take between 5-10 minutes to complete.

In order to keep waiting time for an appointment to a minimum, we ask for a non-refundable deposit of £50 to secure your consultation appointment. This will be deducted from your consultation fee prior to your appointment. If you have any questions, please call us on 0207 486 1779 or email us on

For the past several years, we have offered our Initial Consultations exclusively by Zoom or by Telephone Call. We find this offers more flexibility for patients rather than attending the clinic in person.

We fully respect your privacy. Your details will not be shared with any third parties.

Submitting the registration form confirms your acceptance of our Terms of use.

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