Appointment Booking Request

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We now are using an automated self service booking system to speed up appointments.

Please click on the link below to book your appointment:

https://andy-porter.co.uk/appointments-choices/

In case of problems with the automated form you can still use this form, however we may take more time to schedule your appointment.

Email *

First Name *

Surname *

Your Country *

Patients Name (if different from yours).

If the appointment is not for you please enter the name of the person below.

Which Type Of Appointment Are You Booking? *

Please select the appointment you are booking below.

1 Person Spiritual Health Check

Family Spiritual Health Check

Monthly Spiritual Health Check

Quaterly Spiritual Health Check

Commercial Clearing and Protection

Required

Your Paypal or Stripe Email Address (if different from your email address).

(We need this to verify payment).

Coupon Code

If you have a coupon code please enter here.

How Are You Paying?

Please select your payment method below.

Paypal

Stripe (Credit Card, Apple Pay, Google Pay)

Bank Transfer

Bitcoin

Clear selection

Clear form

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