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Personal details

First nameLast name

Date of birthGender

Personal identity number (optional — for invoicing)Phone (for booking reminders)

Address

Street address

Post codeCity

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Emergency contact

A person we can contact in the event of an incident during a visit.

NamePhone

Relationship (e.g. partner, parent, sibling)

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How did you hear about us? (optional)

Communication preferences

Newsletters are used sparingly — mostly to invite members to spontaneous treatments such as vitamin IV days, recovery weekends and other one-off events.

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Consents — required for membership

Accept all
I have read each of the documents below and accept the privacy policy, terms of service, non-disclosure agreement, health-data consent and right-of-withdrawal consent. (You can still tick or untick individual items below.)Terms and Conditions
I am at least 18 years of age and have read and accept The Clinic's Terms and Conditions — covering membership terms, privacy policy and non-disclosure agreement.Consent to health data
I expressly consent to The Clinic processing my health data (allergies, medication, medical condition) in order to provide me with safe and tailored treatments (GDPR Article 9.2.a).Consent regarding right of withdrawal
I expressly consent to the Clinic commencing the service before the 14-day withdrawal period expires, and understand that the right of withdrawal ends once I have completed my first treatment (Swedish Distance Contracts Act, Chapter 2, Section 11).