Pre-Consultation Medical Questionnaire
To book a free consultation please follow these 3 steps:
Step 1: Complete the pre-consultation medical questionnaire
Step 2: Email us at [email protected] to confirm you’ve submitted the questionnaire.
Step 3: Our team will respond to your email from step 2 directly with the available appointment time slots and help you book a free video consultation. (please keep an eye on your inbox and spam folder for an email from [email protected])
Important: If you’d like to book a face-to-face free consultation with Dr Nurein at our clinic in London, due to our recent relocation we are currently seeing patients at 18-22 Queen Anne Street, London, W1G 8HU. As per the latest GDPR regulations, we are obligated to obtain your explicit written consent before sharing your personal details with Harley Street Specialist Hospital.
To give GDPR consent please simply reply to this email and confirm the following:
• you completed the pre-consult medical questionnaire below
• you want to see Dr Nurein for a free face-to-face consultation in London
• you give us consent to share your details with the Harley Street Specialist Hospital so you can come see Dr Nurein at 18-22 Quenne Anne.
Prior to your procedure taking place, it is necessary to obtain an accurate and detailed medical history. Please complete the following form to the best of your knowledge providing as much detail as possible.