I am interested in a Mollii Suit assessment for

MeMy relativeMy client/patient





Candidate contact details if different and available

Candidate location in UK (town or city)


Do you/ the candidate have any implanted magnetic or electromagnetic devices?
Do you/ the candidate have uncontrolled epilepsy or an acute medical condition?

Which of our current assessment locations could you attend?

Isleworth, West LondonMuswell Hill, North LondonChelmsford, EssexWinchester, HampshireBristolExeter, DevonAylesbury,BuckinghamshireWarwick, WarwickshirePeterborough, Cambridgeshire Eastham VillageLeeds, W YorkshireDoncaster, S Yorkshire

When would you like an assessment?

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