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Please note that, we will decide whether
your preferred
Appointment’s Date is available or not. However, we will contact you later to confirm the Appointment’s Date. Please fill up and complete this e-form:
FULL NAME:
e-MAIL ID:
CONTACT NO:
YOUR REQUEST FOR APPOINTMENT DATE & TIME:
Format to write – Date : DD-MM-YYYY | Time : HH:MM AM/PM
CHOOSE YOUR PREFERRED THERAPY CENTRE:
Please Select
SELANGOR -> KUALA LANGAT (BANTING)
SELANGOR -> KLANG (KG DELEK)
SELANGOR -> SUBANG JAYA (USJ 9)
NEGERI SEMBILAN -> SEREMBAN 2
JOHOR -> BATU PAHAT
JOHOR -> MERSING
CHOOSE YOUR PREFERRED SOLUTION:
Please Select
GURAH THERAPY
ACUPUNCTURE THERAPY
CUPPING THERAPY
REFLEXOLOGY THERAPY
BODY MERIDIANS MASSAGE THERAPY
SUPERFOODS, HERBS & BOTANICAL PRODUCTS
NEED HEALTH CONSULTANCY
HOW WE CAN CONTACT YOU?
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ANY MESSAGE RELATED TO YOUR APPOINTMENT:
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