Appointment Request

Please complete the form below to request an appointment with Dr Peer Mohamed. Our team will contact you promptly to confirm your booking or discuss your enquiry. All information will be treated confidentially.

Important: If you are feeling unwell or experiencing a medical emergency, please do not use this form. Instead, seek immediate help from your local emergency services or contact NHS 111 / 999 as appropriate.

Full Name

Email Address

Phone Number

How soon would you like to be seen?
(Please select the option that best describes your preference)

Within the next 1–2 days

Within the next week

Within the next 2 weeks

No urgency – next available appointment is fine

Preferred Appointment Time
(Please select the option that best describes your preference)

Morning

Afternoon

Evening

Any time is fine

Preferred Location (e.g. Hatfield, Elstree, Hitchin, Harpenden, Stevenage)

Additional Information

Prefer to book by phone or email? Call +44 20 3100 6934 or email office@hertslungclinic.com