Request a booking.

Please complete this form if you wish to request an appointment at Alkaline and we will contact you within 24 hours to arrange your booking. A 50% deposit is required to secure all bookings.

If you are after a last minute appointment (ie. within 24 hours) we recommend calling reception on (02) 9332 2500.

* Required

Your details

Title
DR MRS MISS MS MR

First Name *

Last Name *

Email Address *

Contact Phone Number *

Have you been to Alkaline before? *
Yes No

How did you find us?
-- Please select -- Referred by a friend Walked past Brochure/ flyer Magazine/ Newspaper Television Internet/ Search engine

Appointment Details

Treatment 1 *
-- Please select -- Colon Hydrotherapy Detox Sauna Endermologie Facial Eyebrow Styling Formostar Body Wrap Ion Cleanse Foot Bath Hemaview Massage Naturopathic Appt Omnilux Light Therapy Spa Body Treatment *Package

Treatment 2
-- Please select -- Colon Hydrotherapy Detox Sauna Endermologie Facial Eyebrow Styling Formostar Body Wrap Ion Cleanse Foot Bath Hemaview Massage Naturopathic Appt Omnilux Light Therapy Spa Body Treatment *Package

Treatment 3
-- Please select -- Colon Hydrotherapy Detox Sauna Endermologie Facial Eyebrow Styling Formostar Body Wrap Ion Cleanse Foot Bath Hemaview Massage Naturopathic Appt Omnilux Light Therapy Spa Body Treatment *Package

When would you like to come in?

Any special requests?

Enter Word Verification in box below *