Starting treatment

Getting prepared for treatment with us.

Please fill in the below information so we can plan when you want to start your treatment cycle with us when our clinics recommence. If you have any questions please don't hesitate to contact us.

Patient Information

First name *

Surname *

Email address *

Phone number *

What is your predicted day 1 of period *

Day 1 is the first day of your period where you have a full bleed.

Any further comments?

Starting treatment

Patient Information

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