Woman feet closeup - barefoot woman relaxing sofaRead More
healthy feet clinic in gloucester

Request Foot Health Appointment in the Medway area

Request Appointment with Kelly Baker SAC Dip RFHP

    Your Details

    Name (Required)

    Address (Required)

    Postcode (Required)

    Email (Required)

    Mobile number (Required)

    Patient Details if Different (Optional)




    Mobile number

    Preferred contact time (Required)

    Preferred appointment time (Required)

    Foot conditions?

    Known medical conditions?

    GP Practice name

    Medications taken

    Picture of latest prescription (file limit: 5MB, type: png, jpg)

    Diabetes 1 or 2?

    Known allergies?

    Last NHS foot screen check?

    Permission to take photos of any conditions found?

    Permission to take photo of prescription?

    Any other information you wish to advise us of?

    How would you like to pay?

    I consent to Healthy Feet Mobile Clinic storing the information on this form (required)

    I am happy for Healthy Feet Mobile Clinic to contact me with details of services and promotions.

    kelly baker foot health practitioner gillingham and rainham
    I am a...
    gloucester feet clinic mobile

    What Our Clients Say

    What Our Clients Say