Sleep Screen with OURA Order Form

Sleep Screen with OURA Order Form

Please complete with the patient's details. Deliveries are to the UK only.
First Name*
Last Name*
Date of Birth*

DayMonthYear
Gender*
Your Email*
example@example.com
Mobile Number*
Billing Address*

Street Address

Street Address Line 2

City

Post CodeCountry
Is shipping address same as billing address?*

YesNo
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Choosing your OURA ring

All rings are made of ultra-lightweight titanium with scratch-resistant coating. They're water-resistant up to 100m and have a battery life up to 7 days. All rings come with a charger.

Choose 1 ring:*

Heritage OURA ring£ Free

Please note if you choose the Sleep Screen the ring is on loan only.

Colour

Balance OURA ring£ Free

Please note if you choose the Sleep Screen the ring is on loan only.

Colour

Sleep Screen (in Clinic)£125.00

Sleep Screen over 4-weeks. Oura ring provided on loan to collect data with results analysed by our sleep experts.

12-month Sleep Wellness Subscription (Virtual)£599.00

12-month video subscription for sleep screen and monitoring. Include NEW Oura Ring. Additional discounted GP, Dietitian and Counselling appointments during the 12 month period.

Subtotal £0.00Shipping £0.00Total £0.00

Credit Card Details
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