Online Payment with PayPal

You can now pay for your treatment online using either a credit/debit card or a PayPal account.

Simply fill in the form below, then click on the Pay Now button to be taken to the secure PayPal paymentsystem, and enter your payment information. You do not need a paypal account to make payments.

Once completed, PayPal will send you an email confirming your purchase.

First name *
Surname *
Email Address *
Phone Number
Address line 1 *
Address line 2
Town *
County *
Postcode
Reference number
Amount to Pay *: £
* = required fields
Paypal