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Book a treatment

Name *

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Last

Email *

Mobile *

I am

• New client
• Existing client

Desired treatment time *

• 30 min
• 60 min
• 90 min
• 120 min

Desired treatment

• Abdominal Massage
• Myofascial Release
• Acupuncture (Gosia Jurek)
• Natural Facelift Massage
• Aromatherapy Massage
• Nutritional Therapy (Martina Cohen)
• Clinical Massage
• Oncology Massage
• Crystal Therapy
• Pregnancy Massage
• Deep Tissue Massage
• Reflexology
• Facial
• Remedial Massage
• Hopi Ear Candling
• Reiki
• Hot Stone Massage
• Swedish Massage
• Indian Head Massage
• Sports Massage
• Integrative Medical Massage
• Temporomandibular Joint Massage (TMJ)
• Lymphatic Drainage Massage
• Trigger Point Therapy

Check this box if you are not sure which treatment to choose

• Discuss with therapist on arrival

Reason for visiting (e.g. stress, anxiety, aches/pains, stiffness, cancer, need for relaxation) *

Which day would you prefer to visit? (You can select multiple/all)

• Monday
• Tuesday
• Wednesday
• Thursday
• Friday
• Saturday

What time would you prefer to visit? (You can select multiple/all)

• 10 am - 12 pm
• 12 pm - 2 pm
• 2 pm - 4 pm
• 4 pm - 7 pm

If you have a specific date/time in mind, please enter here

How would you like us to contact you? *

• Email
• SMS
• Phone

Additional information (optional)

Where did you hear about us? *Friend/familyGoogle/Other search engineFacebookTwitterInstagramEmail newsletterTherapy directoryFlyerPassed the clinicReferred by other therapistOther

• Sign-up to our newsletter and get 10% off your next treatment!*

*Discount applies to single treatments only and cannot be used in conjunction with any other offer. As part of the registration process for our monthly e-newsletter, we collect personal information. We use that information for a couple of reasons: to tell you about stuff you’ve asked us to tell you about; to contact you if we need to obtain or provide additional information; to check our records are right and to check every now and then that you’re happy and satisfied. We don't rent or trade email lists with other organisations and businesses. We use a third-party provider, MailChimp, to deliver our newsletter. We gather statistics around email opening and clicks using industry standard technologies to help us monitor and improve our e-newsletter. For more information, please see MailChimp’s privacy notice. You can unsubscribe to general mailings at any time of the day or night by clicking the unsubscribe link at the bottom of any of our emails

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Cancellation policy

We operate a 24-hour cancellation policy. Appointments that are cancelled more than 24 hours prior the appointment time will not be charged. If you cancel less than 24 hours before the confirmed appointment time, we will ask you to pay a cancellation fee of 50% of the initial treatment price. You can either cancel by emailing info@thebrightonwellbeingclinic.co.uk or by calling 01273 92 17 92. Last minute cancellations are only accepted by calling 01273 92 17 92, otherwise the client will be charged full price of the cancelled appointment.