In order that my staff can contact you and schedule a suitable appointment I would be grateful if you would provide the following information:
First name and surname *
Daytime contact telephone number
Email address *
Any other notes
You will be contacted within 24hrs Mon – Fri
Alternatively you can call 97216633 requesting a cosmetic appointment.
It is important to request a cosmetic appointment as this is a different clinic
from general appointments.
You will not need a referral letter for this appointment.