Appointment Request

MR Prinsloo consults and treats patients at the following locations:

North Staffordshire Nuffield Health Hospital

Consultations: Tuesday
Surgery: Monday
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Nuffield Health Hospital in Shrewsbury

Consultations: Friday
Surgery: Wednesday
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Appointment request

If you would like to schedule an appointment or you have any questions or concerns, please complete the appointment request form.  Please do not use this form to cancel or change any existing appointments.

Your details

Your enquiry

Title:

First Name*:

Surname*:

DOB*:

Email*:

Home Phone:

Mobile Phone:

Best time to call:

Address:

Town:

Postcode:

Message, Comments or Questions:

Where would you like to visit us?

How would you like us to contact you?

Which procedures are you interested in?

Breast Augmentation

Breast Uplift

Breast Reduction

Tummy Tuck

Breast Reconstruction

Face/Neck Lift

Eyelid Surgery

Nose Surgery

Prominent Ear

Liposuction

Mole Removal

Other

 

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