Booking Form

The Clinic
Willow Lodge Farm
252 Hoghton Lane
Hoghton
Preston
PR5 0JH

Telephone:
01254 93068 5 / 07976704047
9am – 5pm

Email:
acukaylam@gmail.com

Clinic visits are by appointment only

"*" indicates required fields

First Name*

Last Name*

Your Email Address*

Your Phone Number*

Treatment*

How else can Kay help?*

Preferred Date

Preferred Time

Alternative Date

Alternative Time

Anything we should know?

Please note all appointments are subject to a cancellation policy. You are required to give 24 hours notice to cancel your appointment otherwise you will be charged for your missed appointment.

Phone

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