Appointment Request

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Appointment Form

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First Name: *

Last Name: *

E-mail address: *

Phone Number: *

Email *

Appointment Type: (PLEASE INSERT "YES" IN OPTION 1 or 2 BELOW

1. CONSULTATION & APPOINTMENT: (I am a new patient)

2. APPOINTMENT ONLY: (I am an existing patient/AcuSpa member)

Desired Date for Appointment:

Desired Time for Appointment:

ANY ADDITIONAL INFORMATION

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Book an appointment on-line. Just complete the below form. Once the form has been submitted, a member of our team shall be in contact with you. Alternatively, you may call our team on 0161 711 0456 or email us at info@acuspa.co.uk

IIMPORTANT NOTES TO READ BEFORE YOU BOOK:

For all AcuSpa NON-MEMBERS, a £20 NON-REFUNDABLE deposit is required to secure all appointments.
The clinic requires at least 24 hours notice for all cancellations or re-scheduling of appointments.
Our goal is to provide quality health care to all our patients in a timely manner. No-shows, late arrival and cancellations inconvenience not only our clincians but other patients.
When you book an appointment, you are holding a time slot on our calendar that is no longer available to our other patients. Missed appointments and late cancellations will be charged an administration fee of upto 50% of the treatment cost.

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