St Judes Clinic provides Physiotherapy, Chiropody, Podiatry & Acupuncture in Herts, Beds & Bucks, UK.

St Judes Physiotherapy Clinic

physiotherapy, health and well being

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St Judes Clinic Enquiry Form



Please use the form below to contact us about any of our treatments. Make sure you fill in as much information as possible about your requirements so we can do our best to assist you.

$value) { $$id = $value; } ?>
 
"; $form_block = "
Please note: Fields marked * are required.
* Name:
Phone No:
* E-mail:
* Your reason for contact:
* Your Enquiry
Verification:
Uppercase text from the image above:
    

Please only post once, it will only take a
few moments to process this information. "; $footer = "
\n"; if ($op != "ds") { // display form echo "$header $required $form_block $footer"; } else if ($op == "ds") { $errArray = array(); if ($sender_name == "") { $errArray[] = "Name"; $send = "no"; } if ($sender_email == "") { $errArray[] = "E-mail Address"; $send = "no"; } if ($requirement == "") { $errArray[] = "Requirements"; $send = "no"; } include('captcha/securimage.php'); $img = new securimage(); if ($img->check($captcha) == false) { $send = 'no'; $errArray[] = 'Verification text'; } if ($send != "no") { $to = "enquiries@stjudesclinic.com"; $subject = "St Judes Clinic $sender_reason"; $mailheaders = "From: $sender_email"; $msg = "Name:\t$sender_name\n"; $msg .= "Tel:\t$sender_phone\n"; $msg .= "Enquiry:\t$requirement\n"; mail($to, $subject, $msg, $mailheaders); $to = "physiosj@aol.com"; mail($to, $subject, $msg, $mailheaders); $to = "andy@neopixel.co.uk"; mail($to, $subject, $msg, $mailheaders); // Courtesy E-mail $to = "$sender_email"; $subject = "You have sent your Enquiry"; $mailheaders = "From: enquiries@stjudesclinic.com"; $replyMsg .= "Dear $sender_name,\n\n"; $replyMsg .= "Thank you for your enquiry.\n\n One of our team will get back to you as soon as possible.\n\n"; $replyMsg .= "Kind regards,\n\n"; $replyMsg .= "St Judes Clinic.com\n"; $replyMsg .= "http://www.stjudesclinic.com\n\n"; mail($to, $subject, $replyMsg, $mailheaders); echo "
Enquiry Sent

Thank you for your enquiry $sender_name.

Thank you for your enquiry, one of our team will get back to you as soon as possible.

"; echo "You will be sent an email confirming receipt of your enquiry, if you do not receive this email then we do not have your correct email address.

Thank you again for your enquiry,

St Judes Clinic.com\n

Click here to return to our homepage\n
"; } else if ($send == "no") { $errMsg = "
You forgot to enter information for the following required field(s):

"; $limit = (sizeof($errArray) - 2); $blanks = sizeof($errArray); if ($blanks >= 3) { for ($a = 0; $a < $limit; $a++) { $errMsg .= "$errArray[$a], "; } $a = $limit; $errMsg .= "$errArray[$a] and "; $a++; $errMsg .= "$errArray[$a]."; print "$errMsg

$required"."\n $form_block"; } if ($blanks == 2) { print "$errMsg $errArray[0] and $errArray[1].

$required\n $form_block"; } if ($blanks == 1) { print "$errMsg $errArray[0].

$required\n $form_block"; } if ($blanks == 0) { print "Error: Didn't match any conditions: $limit"; } } } ?>

Postal Address

St Judes Physiotherapy Clinic
26 Lake Street Leighton Buzzard Bedfordshire LU7 1RX United Kingdom

Telephone
United Kingdom (01525) 377751
International +44 (0) 1525 377751

Name & Registered Office:

ST. JUDES PHYSIOTHERAPY AND CONSULTING LIMITED
26 Lake Street Leighton Buzzard Bedfordshire LU7 1RX

Company No. 04424810

Privacy Policy

St Judes Clinic are committed to protecting the privacy of its website visitors.

We do not ask you to disclose any more information than is reasonably necessary to enable you to send your enquiry. We do not disclose, share, sell or transfer personal information we have collected from you through our ‘contact us’ form to third parties unless required to do so by law. St Judes Clinic cannot accept any liability for disclosure of information submitted as a result of security breach or accidental disclosure during system operation.

All rights reserved. Reproduction and dissemination of material contained on the St Judes Clinic web site is prohibited without the written permission of the copyright holders.

Applications for such permission should be emailed to: admin@stjudesclinic.com