01234 984065 | info@medicclinic.co.uk

Address

90 High Street,
Bedford, MK40 1NN

E-mail

info@medicclinic.co.uk

Phone

01234 984 065

Hours

Monday-Sunday: 10am to 5pm

CONTACT US

Consultation Form

Booking Form

Full Name*
Phone*
Email*
Treatment of Interest*
Date of birth*
Date Format: DD slash MM slash YYYY
Gender*
NHS Number
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Where are you Self-Isolating?*
Same as previous

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Date of arrival to UK*
Date Format: DD slash MM slash YYYY
What Country did you travel from?*
Date of travel*
Date Format: DD slash MM slash YYYY
Passport Number*
Flight Number*
Flight Departure Time

: HH

MM
Destination you are traveling to*
Reason for your appointment

Our Professional Clinicians

MBBS MRCGP UK

Dr Asif Khan

General Practitioner

DMD

Dr Sadia Javed

Dentist

MD FSRH MRCGP

Dr Gaj Swamy

General Practitioner

MBBS, FCCP, FRCP

Dr Amer Saleem

Consultant Respiratory Physician

NMC Registered Nurse

Miss Neide Cardoso

Nurse

BSc (Hons) MCSP, MHCPC

Mr Ryan Butler

Physiotherapist

HCPC paramedic / Aesthetic

Mr Simon Chapman

HCPC Paramedic

MBBS, MRCGP, GPwSI, DRCOG, BSc

Dr Julian Lane

General Practitioner