Make an Appointment or Contact Us

Please complete the following form and click 'submit' below.

  Your Name * 
Email Address * 
Address
Town
County

Postcode
Telephone Number

* indicates required information         

I would like to book an appointment
I would like further information

Please type details of your enquiry

Other comments:

  Please select how you came across this website:

         Internet
         Emailing List
         Search Engine
         Yellow Pages
         Leaflet
         Magazine
         Newspaper
         Recommendation

Conditions of monthly draw

Each month a name will be selected from all registrations for the current month. The recipient will receive a confirmation email entitling them to a 1hr session at the Brooklands Clinic

Only one registration per person. The draw is not open to current clients.