Brighton Homeopathy - Appointments

Pre-Consultation and Appointment Questionnaire

To make an appointment you can contact me by calling 07973 174562, by emailing Brighton Homeopathy or by completing the form on this page. All information is confidential, and seen only by the homeopath.

Thank you.

Pricing Structure:

First Consultation	£60.00 including prescription
All follow ups	£40.00 including prescription
First visit and two follow-ups	£120.00 including prescriptions
Must be booked at the same time, for the same person, for discount to apply
Seniors/ under 11 years	£40.00 including prescription (first visit) For follow-ups, please enquire .
Cancellation fee (less than 48 hours)	£40.00

Your title:

First name:

Surname:

Address:

Postcode:

Daytime telephone:

Evening telephone:

Email:

Date of birth:

Please give some details :

When did the problem start?:

Any other significant things you would like to bring to my attention?:

Special needs:

Appointment Request:
Afternoon Evening
Saturday - please state time preference :
Please visit me at my home address. (Travel cost will apply outside Brighton/Hove)

When you have checked your selection, please click the "Submit" button. If you wish to cancel all the information and start again, please click the "Reset" button.

When you have checked the details, please click the "Submit" button. If you wish to cancel all the information and start again, please click the "Reset" button.

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