**Download the form below, fill it out and submit it in the upload section above. This form can be prefilled to prepare you for the 'Initial Consult' otherwise you will be asked to complete it on the day. Save time and submit it online.

Contact

Email your queries and correspondence to:​

Mental Health

myelinconnect@gmail.com

Anti-Aging / Skin Rejuvination

myelin.derma@gmail.com

Or use the form to the right to contact us.

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