Appointment Booking Frustrated with the whole clinic process just for a simple shot? We totally understand where you're coming from. That's why we offer the convenience of home visits for injections. It's all about making things easier for you. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Patient Details. To ensure your booking is processed accurately, please provide your information so we can have your details on file and complete the booking form carefully, making sure to provide correct information. First NameLast NamePhoneEmailDate of birthMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920 Appointment Location, Date & Time. DateTime Please take care to answer all questions and fill in all fields accurately and thoroughly. It is important that you provide us with the correct information, as this will determine whether we are able to legally provide you with our services. Are you B12 Deficient? YesNo Have you been diagnosed with any blood disorders? YesNo Are you currently taking any blood thinners? YesNo Have you ever had a reaction to a B12 injection before? YesNo Have you had any IV fluids in the past 24 hours? YesNo Please provide us some basic details To better serve you, please provide a brief explanation for booking a booster shot with Mobile B12. This will help us understand your needs and tailor our services accordingly. Private Administrative Service. Experience the convenience and safety of our Private Administrative Service, where our team of certified healthcare professionals provide expert injections tailored to your needs. Administrative Call-Out - £75.00Total£0.00Submit