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 LondonNorth LondonWinchester, HampshireBristolExeter, DevonHuntingdon, CambridgeshireBrighton, E SussexCoventry, W MidlandsLeeds, W YorkshireSheffield, S YorkshireWigan/Manchester, LancsScotland - referral clinics

When would you like an assessment?

Δ