Bookings

Category: Introductory Session
50 minute introductory session
Held at the Hale Clinic in Regent’s Park.
We will call you to arrange a convenient date for your introductory session.

£ 100.00

First name:
Surname:
Date of birth:
First name:
Email address:
Phone number:
Contact number in case of emergency:
Occupation:
Family of origin
members' names:



Current family
members' names:



Are you on any medication?
If yes please specify:
GP's name:
GP's phone number: