(Tax Exempt)

Please enter the amount you wish to pay in the box at the bottom

Card Type

Please choose your payment card type

Please enter the name of the Consultant or Clinic (e.g. Mr Jones, Professor John Green or 1 Harley Street)

Enter name of the patient (e.g. John Smith)

I have read and agree to the terms & conditions

Please enter the full invoice number (e.g. AB12345)


Click here for Terms & Conditions