Treatment Booking Form Treatment Booking Form

Hello friends

Welcome to Vitality Balance Therapy with Lee Fairweather.

If you are new to our practise and treatments , we require that you fill out a consent form before any treatment is administered.

Once completed you can book your session using the link below.

Alternatively, you can use
WhatsApp/SMS Lee on 07931 954549 or email lee@leetaichicentre.co.uk to discuss availability.

​Clinic appointments:

Appointments at the clinics are currently available on:

Tuesdays / Thursdays - Tolworth

Wednesdays / Fridays - New Malden

Bookings can be made in the system below. If this is your first appointment with Lee, please select New Patient, otherwise select Follow Up Appointment. Once you've made your booking, you will receive a confirmation email and a reminder before your appointment.

Payments can be made by BACS, Credit Card or through the Booking Form. Kindly note, there is a 24 hour cancellation policy.

Acupuncture Treatment Form

Please fill out the form below


Please describe your current condition as best you can.
Please provide any medical history that may be relevant.
Please write your name here
see

Tolworth Treatments
Surrey, UK

Medical Room

Tolworth Gymnastics Club

Tala Close

Tolworth, Surrey.

KT6 7EY

New Malden Treatments
Surrey, UK

World of Golf 

Beverley Way

New Malden
Surrey
KT3 4PH


By Car: World of Golf is located at Shannon Corner, the junction of the A3 and the B282.

 Local Rail: Our closest rail links are New Malden and Raynes Park, both a few minutes away by taxi.

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