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Health Needs Assessment Form during COVID-19

At this time, we are continuing to support our clients by arranging e-consultations with top UK-based medical professionals.

Please visit our Medical e-Consultations page for more information

Medical e-Consultations

Once we receive your completed form, we will contact you within 24 hours.

Please note that any personal information you submit to Metta Health will be held in the strictest of confidence according to our Privacy Policy*

Tell us a bit about yourself

Please provide your full name.
Please provide your date of birth.
Please provide your gender.
Please provide the first line of your home address.
Please provide the second line of your home address.
Please provide your city.
Please provide your state.
Please provide your zip code.
Please provide your email address.
Please provide your phone number.
* We comply with the European Union’s General Data Protection Regulation (GDPR). Please see our Privacy Policy for more information.