Choose a Consultant Choose an Appointment Maneesh Ghei Back Choose an Appointment Date and Time Joe Bloggs All Locations Back Location Address 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 Back Book Appointment 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 Thank you! Your booking has been completed and you have been sent a confirmation email. However your payment was not successful. Please login to the Patient Portal where you can make the payment, manage your appointments and view your medical record. Referral Details Referral Details I agree to the terms and conditions of booking an appointment Back Book Appointment Thank you! Your booking has been completed and you have been sent a confirmation email. Done Thank you! Your booking has been completed and you have been sent a confirmation email. However your payment was not successful. Please pay the invoice from the invoices page on the patient portal in order to confirm your appointment booking. Done Done xxx xxx Login to Portal Select Clinician Select Appointment Type Select List Validate Patient Fields Payment Complete Validate Patient 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 PAY NOW