Choose a Clinician Scroll for more clinicians Choose an Appointment Maneesh Ghei Back Scroll for more appointment types Choose an Appointment Date and Time Joe Bloggs All Locations Location Address Back Scroll for more dates First Name Surname Gender GenderSelect GenderMaleFemaleNot KnownNot Specified Date of Birth Mobile Number Email Address Referral Details Referral Details I agree to the terms and conditions of booking an appointment Address Line 1 Address Line 2 Town or City Post Code I have insurance Click the link above to view the terms and conditions Thank you! Your booking has been completed and you have been sent a confirmation email. You can now login to the Patient Portal where you can manage your appointments and view your medical record. Message Done Your payment was not successful and so your booking has been cancelled. If you wish to try again please login to the portal or contact the practice. Insurance Details (please amend if required) Insurance Details (please amend if required) I agree to the terms and conditions of booking an appointment Back Book Appointment Referral Details Referral Details Click the link above to view the terms and conditions Thank you! Your booking has been completed and you have been sent a confirmation email. Done Your payment was not successful and so your booking has been cancelled. Done Done Booking this appointment requires a deposit of £100.00 to be paid. Pay Deposit Back Insurance Company Policy Number Authorisation Details Authorisation Details Back Book Appointment XXX XXX XXX XXX Login to Portal Select Clinician Select Appointment Type Select List Validate Patient Fields Payment Complete Validate Patient Fields Validate Insurance Fields Coherent Check Payment Coherent Pay Patient Name Invoice Number Invoice Date Activity Date Consultant PAY NOW Amount To Pay Invoice Total Paid to Date Balance Details Waiting for Payment Confirmation... CANCEL Do not close this page until you receive confirmation that the payment has been accepted! PAY NOW