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Availability Form
For Reversal of Sterilisation Surgery.
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Email *
What is your FULL name? *
What is your date of birth? *
What is your best contact number? *
Please check this, the responsibility for getting this right is yours alone.
Can you be available in November at very short notice *
Are you available for surgery from January onwards *
Have you had a consultation with Mr Pickles? *
These are our COVID terms.
You must arrange a PCR test 72 hours before and then isolate for the 3 days prior to admission.
No visitors are allowed under any circumstances.
Are you willing to understand our COVID terms? *
Do you have the funds in place to pay? *
Do you understand that payment is required (either by credit card or finance 10 days prior to surgery? *
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