IM INJECTION FORM Please complete our online booking form below. We will contact you shortly to confirm your appointment. First Name(Required) Last Name(Required) Contact No(Required) Email(Required) Select Your IM Injection Supercharged Vitamin C (Immunity) Beauty Booster Weight Loss (MIC) ZEN (Stress & Mood) Book an AppointmentDate (Mon - Sat) DD slash MM slash YYYY Time (09h00 - 16h00) Hours : Minutes Additional CommentsNameThis field is for validation purposes and should be left unchanged.