Book ear impressions

To book your ear impression or ear mould appointment, please complete the following details and we’ll call you back to arrange an appointment:

    First name*

    Last name*

    Email

    Phone*

    Comments / Action Required

    Please confirm shop location

    I can confirm that I am authorised to make this appointment

    I acknowledge that you will process my personal details in accordance with your privacy policy in order to respond to my enquiry.

    Home visits are intended for those with difficulty getting into the clinic.

    Confidentiality assured

    Patient confidentiality is very important to us and we will never share your email address or contact details with anyone and you will not add you to a mailing list.