Reigate Diary
Worcester Park Diary
Cheam Diary
Online Booking Form

Please fill in the form below to book your consultation.

Fill in the fields with as much information as you can and we will call you no more than 1 HOUR after you have filled the form in to arrange a fitting date – or another consultation of you need it.

Once you have filled in the form please text some pictures of your hair in daylight (not direct sunlight) to 07792184703 so we can colour match your hair.

Please note we cannot confirm bookings / fittings without a deposit unless otherwise specified.

 

Consultation Form

Name
Address
Email
Telephone/fax
Have you ever suffered from: Hair Loss / Itchy Scalp / Hair Thinning?
Have you ever undergone any chemotherapy treatment?
Are you allergic to any metals?
Are you pregnant or have you been pregnant in the last year?
Are you allergic to any hair products?
Type of Hair Extensions Wanted:
Booking or Consultation required: