Consultation Form

Make Time For You

Tell Us About You

If you have booked a Reflexology appointment we require a few more details about your health and wellbeing. Please complete and submit this online form 48 hrs prior to your appointment.

Alternatively, you can print this form if you prefer (using the 'PRINT FORM' button at the bottom of this page) and bring it with you to your first appointment.

Your details are held on file and any changes will be discussed in person during your future appointments.