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Clare McLoughlin
Chilterns House, 49-51 Dean Street, Marlow, SL7 3AA
Monday: 9.30am - 2.30pm
Tuesday: 9.30am - 2.30pm
Wednesday: 9.30am - 2.30pm
Wednesday Evening clinic: 6.30pm - 9.30pm
Thursday: 10am – 2pm
Friday: 9.30am - 2.30pm
Saturday: 10am – 2pm
Sunday: CLOSED
Accredited 18th July 2014
Clare McLoughlin has been a general nurse since 1988 and is an Independent Nurse Prescriber and advanced procedure aesthetic nurse and trainer with more than 19 years’ experience in the aesthetic field.
As a recognised aesthetic trainer, Clare is known for her professional approach and skill in the field of aesthetics and has appeared on a number of television programmes performing injectable aesthetic treatments.
After working as a practitioner for Transform Medical group 2001-2003, Clare started her own business – Appearance Based Medicine – in 2004, to enable her to provide the highest level of patient care and satisfaction.
Clare has been an advanced techniques trainer in Botulinum toxin treatments and Skin fillers for National Cosmetic Courses since 2004.
| Wrinkle relaxing injections |
| Dermal Fillers |
| Lip Enhancement |
| Cheek Enhancement |
| 8 Point Facelift |
| Hyperhidrosis |
| Medical Skin Needling |
| Aqualyx (Fat Reducing) |
| Chemical Peels |
| Eye Bag Removal |
| INTRAcel |
| LED Acne Treatment and Skin Repair/… |
| Microdermabrasion |
| Microsclerotherapy |
| Non-surgical nose job (Rhinoplasty) |
| Platelet Rich Plasma (PRP) Therapy |
| Profhilo Skin Remodelling |
| Sclerotherapy |
| Sculptra |
| Thread Lifting |
| Clare Mcloughlin |
|---|
*Please note that only the practitioners that are listed below have been assessed and approved by Save Face.
Practitioner/PrescriberName: Clare Mcloughlin Regulatory Body: NMC Prescriber: YesQualifications
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Mandy King says: I was nervous upon first visit, but was greeted with a friendly and professional atmosphere. It’s still early days but am already starting to see and feel positive results.
Clare Penning says: The whole experience was professional and made us feel at ease. Realistic expectations. Def will be back 🙂
Nicole Tudor-Williams says: Clare always so helpful and flexible. as well as knowledgeable and so gives confidence in her ability for treatments.
Clare is an outstanding practitioner who is sensitive to your individual needs. She promotes her various products with a high level of knowledge but you never feel pressurised into trying other products. She is extremely skilful and patient when treating you. I have always had an excellent experience and I would highly recommend ABM to anyone considering any non-surgical cosmetic treatment.
Scarlett Cabrini says: Clare is a lovely professional lady who gives dear and practical advice. I have been having aesthetics for many years prior to meeting Clare and I wouldn’t go anywhere else.
J. B says: Facial contouring with filler. Results fabulous – exceeded expectations. A real confidence booster!
J E L says: I have found Clare to be professional and highly skilled at her job. I am very pleased with the results. Clare assessed my needs totally correctly.
Anonymous says: I cannot recommend Clare highly enough, she has really helped me to manage my skin and better understand how to look after it as I age. She has a lovely calm and trusting manner so I always feel confident seeking her advice.
Anonymous says: I was nervous to consider aesthetic treatments, however, the treatments I have received to date have been explained to me me in full, including side effects. I have experienced a highly professional, skilled and well informed approach and have been very pleased with the results. I am moving forward slowly and have a realistic plan which I hope will improve skin condition and reduce some lines. I am happy in my own skin!
Mrs Davies says: I was really impressed with Clare from my initial consultation through to the treatment. It never felt rushed and I immediately felt assured with her approach. She is obviously very competent in her field with extensive experience. She was highly recommended and now I understand why.
Susan Matthews says: I was warmly met and made to feel that my concerns were being taken seriously. I was talked through the treatment and the products without feeling under any pressure. I felt valued as a client. The receptionist was warm and friendly, the reception area uncluttered and welcoming. The clinic was immaculate and the Cosmetic Nurse was gentle in her approach and highly knowledgeable about treatments and products.
Charlotte Poole says: My skin has never felt so healthy and blemish free since I started using the products prescribed by Clare. I was relieved to discover that my skin wasn’t as damaged as I felt it was and that there was something practical I could use before I needed a chemical peel. Clare took the time to listen to my story and made me feel like there was someone who was interested in making me look and feel my best. Thanks so much Clare
Sandra Morar says: I have only great word to have about treatment, outcome and prices. Also I really appreciate the honesty of what us and not possible and expected. All treatments I had cane try to the clinic word I also appreciate the time keeping and reminders which makes everything really stress free. Thank you for all.
Sally Bell says: I’ve finished my third Intracel treatment with Clare, and I notice a definite improvement in facial tautness. Clare gave me lots of information on what I should expect from this treatment. She was ( and is) always happy to reassure me and I feel I’m in safe hands with her.
Anonymous says: Clare is very professional, she makes you feel relaxed and confident. The treatment is not only cosmetic, it builds up your self-esteem.
Rachel rutland says: Superb attention, treatments tailored to individual needs, help & advice freely given following treatment
Anonymous says: I had Botox treatment with clare and found it a good experience. I had no pain and the treatment was very successful . It made a great improvement to my lines and it made me feel much happier with my skin.
Anonymous says: I have been increasingly concerned about my ‘permanent frown’ for years and eventually saw Claire for Botox – the results are brilliant and completely natural, I am delighted.
Anonymous says: Takes off some years but still look like me !
V. Longford says: Very pleased with service. Will highly recommend.
Judith says: Despite my initial paranoia in the first week after PDO thread treatment, I am really please with the results a month on.
Madeleine Robinson says: 
Carole Brennan says: Claire was very friendly, caring and professional. The treatment was carried out efficiently. I am really pleased with the results and the care that was taken to guide me through what I required and what I might expect to happen. Thank you Claire.
SB says: Claire put me at ease and was very professional and listened to what my expectations were. Claire exceeded my expectations and I would highly recommend her.
Nikki Hammond says: Very professional consultation, all my concerns and questions answered thoroughly. Very pleased with with the results, will be returning for other treatments very soon.
Judith Cocking says: Clare is a master at reassurance for the “novice” patient.
Mrs Sylvia Arnold says: 
Victoria Hunter Jaap says: As you hear many horror stories regarding beauty treatments going wrong I was immediately put at ease with Clare who is very professional and knowledgeable. I have been coming for over a year now and have received fantastic results.
Mark McLoughlin says: Clare was very professional and informative from the first appointment + throughout treatment. Will happily use again + fully recommend to others.
Caitlin Hatton-Jaap says: I came to see Clare because my skin was bad, she was very helpful and kind. Her advice was to give me fish oil to help my skin and a course of dermabrasion. I am really happy because now my skin is now great.
Helen Garrett says: Very pleasant first consultation
RK says: As always Clare was a true professional. She talks you through everything you need to know, has an amazing bedside manner and talks you through every step, never rushing. Amazing! 5 stars!
Sanda Morar says: I had a complete intracell treatment, botox, fillers, facials. The results are amazing. I had very bad acne scaring that is now almost gone. The skin looks very young as in my 30s and I am now in my 50s. Clare has reconstructed my forehead from a very wrinkly and uneven to a perfect looking one. The botox always lasts almosts 4 months. Thank you Clare
ST says: I have been going to Clare for 6 years now and have always been delighted with the treatments for botox. Clare is a professional – you are in excellent hands!!
ABI says: Very happy I thank you.
Elizabeth Symmond says: Absolutely delighted with the result – hadn’t expected it to be this good, thankyou
Libby .B. says: Excellent consultation, Clare was very informative about all stages of the treatment.
J. Taylor says: v. pleased.
OMP says: Delighted with the results, feel 10 years younger. Claire is an amazing face artist and I trust her completely.
Vintila Sonia-Ligia says: I am happy with the treatment provided and all the good information about the treatment.
Ali says: V. professional and understanding, thank you
Amanda Spiers says: Great advice and felt comfortable and relaxed about the procedure and aftercare. Highly recommended.
Jenny Wallace says: – eye pads to protect my eyes were great
– professionally administered treatment with clearly explained steps
Jane Horsman says: I have been coming to see Claire for 15 years and always been very pleased – which is why I return!
C.P says: Very good care and attention. Made me feel very comfortable and relaxed.
Kelly Bustin says: Clare is absolutely wonderful. Nothing is too much trouble and gave me more than enough time. I am very pleased with the results and will be returning for sure.
L.J. says: Really appreciate Clare’s kindness and understanding – not to mention patience – guiding a nervous patient through the process.
Jan Simmonds says: 
Laura Loader says: ……………
David Pering says: Perfect service!
Rebecca Kattenhorn says: Amazing results – so natural but still gave me the confidence I needed. Will definitely be returning. Thanks Clare! <3
TC says: I am extremely pleased to have found Clare. I have had unpleasant experiences in the past and Clare has given me confidence that the care and support she gives is as important as the results she achieves with the treatment.
Rebecca says: thoroughly recommend
Neil Smithers says: Excellent service from all the team. I work long hours and Clare and her team have exceeded my expectations, always polite and friendly when re-arranging my appointments.
Nikki says: Ihave complete confidence in Clare as an experienced empathetic practitioner. Her results are natural, leaving me looking and feeling confident.
Tricia W says: I first went to Clare for Sclerotherapy in 2004 to treat spider veins on my thigh. She has always been very professional but with a caring and empathetic attitude. This has enabled me to have complete confidence in the medical side of my treatment. As Clare’s business has grown and I now see her regularly for other treatments which gives me confidence that I look my best. She is now in lovely premises in Marlow and her team have managed to keep the personal touch and make you feel special. I wish them every success in the future.
Jackie. B says: I wanted my lips plumped but was always worried they would look unnatural an meeting clare she assured me thats not what she wanted to do + only would go with a natural look, I had them done + I love them. I wake in the morning hoping they look as they did the day before and they do. Big thank you. Jackie
Victoria Hunter says: I have always been a bit dubious about having any cosmetic procedure but as a permanent frowner I wanted to be frown free and Clare was recommended to me. She instantly put me at ease and was very informative. Also knowing all of her qualifications and experience gave me confidence as you hear so many horror stories out there. In a nutshell Clare has provided me with great natural looking results and I highly recommend her to others.
Ella says: I don’t normally write reviews but Clare McLoughlin has been a life saver! I came to see her after having a disastrous treatment at another Marlow clinic where the person bruised me badly, and worse dropped my right brow which left me looking lopsided like I’d had a stroke – I was gutted!!!
Lovely, lovely Clare was so knowledgeable and was able to sort me out. (I hadn’t realised that Clare has been teaching wrinkle relaxing injections and skin fillers for many years).
Anyway, Clare did some advanced technique injecting and I was amazed that she was able to bring my brow back up. I would never go anywhere else now. I have had subsequent treatments with her including skin needling, further wrinkle relaxing injections and skin fillers to my lips and cheeks. I am having a peel next, and my leg veins treated this autumn. I can recommend Clare because she knows what she is doing, actually cares about you, and always makes me look and feel great without anyone knowing that I have had a treatment. When I have a treatment with Clare I come away full of confidence.
Ella Collins
Bourne End
Sanda Morar says: I have known Clare for many years and she not only makes me feel good, but she also makes me feel in very safe hands – Clare has a real talent to use the right treatment at the right time.
Her clinic is awesome and the opening time very generous and accommodating.
I also put my (adult) daughter in her hands for acne scarring treatment, and I have no hesitation that Clare does the right thing for her skin.
I sincerely recommend Clare.
Sandra says: I have been in Clare’s hands for many years and I not only look good but I always feel safe and taken care off. Clare has a real talent in selecting the right treatment at the right time, her clinic is excellent and the opening times could not be more generous. I had botox, fillers, intracell and specialist home treatment kits. I sincerely recommend Clare’ talent and treatments.
R.Rutland says: Very pleased with treatment & results. Clare’s Thorough Aftercare advice following treatment a godsend, very reassuring & professional. No hesitation to recommend.
Samantha Murphy says: As a beautician I have good knowledge of skincare. My consultation began with a skin analysis using a machine which showed skin damage not visible to the eye. I was pleased to see that my regular use of sunscreen had paid off!!! I had booked in to have the Fire and Ice medical facial to resurface and rehydrate my skin. The results were beautifully soft, smooth, radiant skin. Clare was professional and made me feel very relaxed and comfortable, I was made even more relaxed by the gentle background music. I did not feel pressured to buy any products and left with a goodie bag of samples to try at home. All in all a very pleasant experience and I will definitely be back!!!
carmel says: Being new to this industry and the various procedures available, I can not rate Clare highly enough. She offered me facts and information based upon what I presented her with. I had always avoided approaching such services because of the horror stories and a reluctance to be greeted by over the top sales people. Clare is medically trained, professional and I came to trust her sufficiently to have a treatment. For which I was delighted with the results. As a mother of two, safety and results were my priority. Clare excelled in these areas and I would gladly recommend her as a practitioner. Brilliant. Thank you
Sarah Hill says: Very knowledgable and professional
Orla Palmer says: Very informative, very knowledgable. Thoroughly recommend Clare
Cara bonaventura says: Excellent professional service, very pleased with my new lips!!!
Sylvia A says: As always, very pleased.
Lesley conybeare says: I have been having treatment with Clare for over 10 years and can thoroughly recommend her. She is extremely experienced, and her results are fantastic, and above all she is kind and friendly, she has become a good friend.
Ruth Atkins says: Excellent treatment, very professional. Would recommend Appearance Based Medicine. As Registered Nurse myself I felt very reassured that Clare was very knowledgeable and experienced in the treatments I received, it was obvious to me that she had my interests at heart all the way through. Not only did Clare tell me which treatments would benefit me personally she explained why others were not appropriate. Good clear explanations given throughout. Thank you.
Charles Farleigh says: Removed all my nerves and provided an outstanding service. Highly recommended
Louise Conant says: Clare is patient and kind, and I value her advise and high standard of practice and experience.
Chilterns House
49-51 Dean Street
Marlow
SL7 3AA
Monday: 9.30am - 2.30pm
Tuesday: 9.30am - 2.30pm
Wednesday: 9.30am - 2.30pm
Wednesday Evening clinic: 6.30pm - 9.30pm
Thursday: 10am – 2pm
Friday: 9.30am - 2.30pm
Saturday: 10am – 2pm
Sunday: CLOSED
I was nervous upon first visit, but was greeted with a friendly and professional atmosphere. It’s still early days but am already starting to see and feel positive results.
The whole experience was professional and made us feel at ease. Realistic expectations. Def will be back 🙂
Clare always so helpful and flexible. as well as knowledgeable and so gives confidence in her ability for treatments.
Clare is an outstanding practitioner who is sensitive to your individual needs. She promotes her various products with a high level of knowledge but you never feel pressurised into trying other products. She is extremely skilful and patient when treating you. I have always had an excellent experience and I would highly recommend ABM to anyone considering any non-surgical cosmetic treatment.
Clare is a lovely professional lady who gives dear and practical advice. I have been having aesthetics for many years prior to meeting Clare and I wouldn’t go anywhere else.
Facial contouring with filler. Results fabulous – exceeded expectations. A real confidence booster!
I have found Clare to be professional and highly skilled at her job. I am very pleased with the results. Clare assessed my needs totally correctly.
I cannot recommend Clare highly enough, she has really helped me to manage my skin and better understand how to look after it as I age. She has a lovely calm and trusting manner so I always feel confident seeking her advice.
I was nervous to consider aesthetic treatments, however, the treatments I have received to date have been explained to me me in full, including side effects. I have experienced a highly professional, skilled and well informed approach and have been very pleased with the results. I am moving forward slowly and have a realistic plan which I hope will improve skin condition and reduce some lines. I am happy in my own skin!
I was really impressed with Clare from my initial consultation through to the treatment. It never felt rushed and I immediately felt assured with her approach. She is obviously very competent in her field with extensive experience. She was highly recommended and now I understand why.
I was warmly met and made to feel that my concerns were being taken seriously. I was talked through the treatment and the products without feeling under any pressure. I felt valued as a client. The receptionist was warm and friendly, the reception area uncluttered and welcoming. The clinic was immaculate and the Cosmetic Nurse was gentle in her approach and highly knowledgeable about treatments and products.
My skin has never felt so healthy and blemish free since I started using the products prescribed by Clare. I was relieved to discover that my skin wasn’t as damaged as I felt it was and that there was something practical I could use before I needed a chemical peel. Clare took the time to listen to my story and made me feel like there was someone who was interested in making me look and feel my best. Thanks so much Clare
I have only great word to have about treatment, outcome and prices. Also I really appreciate the honesty of what us and not possible and expected. All treatments I had cane try to the clinic word I also appreciate the time keeping and reminders which makes everything really stress free. Thank you for all.
I’ve finished my third Intracel treatment with Clare, and I notice a definite improvement in facial tautness. Clare gave me lots of information on what I should expect from this treatment. She was ( and is) always happy to reassure me and I feel I’m in safe hands with her.
Clare is very professional, she makes you feel relaxed and confident. The treatment is not only cosmetic, it builds up your self-esteem.
Superb attention, treatments tailored to individual needs, help & advice freely given following treatment
I had Botox treatment with clare and found it a good experience. I had no pain and the treatment was very successful . It made a great improvement to my lines and it made me feel much happier with my skin.
I have been increasingly concerned about my ‘permanent frown’ for years and eventually saw Claire for Botox – the results are brilliant and completely natural, I am delighted.
Takes off some years but still look like me !
Very pleased with service. Will highly recommend.
Despite my initial paranoia in the first week after PDO thread treatment, I am really please with the results a month on.
Claire was very friendly, caring and professional. The treatment was carried out efficiently. I am really pleased with the results and the care that was taken to guide me through what I required and what I might expect to happen. Thank you Claire.
Claire put me at ease and was very professional and listened to what my expectations were. Claire exceeded my expectations and I would highly recommend her.
Very professional consultation, all my concerns and questions answered thoroughly. Very pleased with with the results, will be returning for other treatments very soon.
Clare is a master at reassurance for the “novice” patient.
As you hear many horror stories regarding beauty treatments going wrong I was immediately put at ease with Clare who is very professional and knowledgeable. I have been coming for over a year now and have received fantastic results.
Clare was very professional and informative from the first appointment + throughout treatment. Will happily use again + fully recommend to others.
I came to see Clare because my skin was bad, she was very helpful and kind. Her advice was to give me fish oil to help my skin and a course of dermabrasion. I am really happy because now my skin is now great.
Very pleasant first consultation
As always Clare was a true professional. She talks you through everything you need to know, has an amazing bedside manner and talks you through every step, never rushing. Amazing! 5 stars!
I had a complete intracell treatment, botox, fillers, facials. The results are amazing. I had very bad acne scaring that is now almost gone. The skin looks very young as in my 30s and I am now in my 50s. Clare has reconstructed my forehead from a very wrinkly and uneven to a perfect looking one. The botox always lasts almosts 4 months. Thank you Clare
I have been going to Clare for 6 years now and have always been delighted with the treatments for botox. Clare is a professional – you are in excellent hands!!
Very happy I thank you.
Absolutely delighted with the result – hadn’t expected it to be this good, thankyou
Excellent consultation, Clare was very informative about all stages of the treatment.
v. pleased.
Delighted with the results, feel 10 years younger. Claire is an amazing face artist and I trust her completely.
I am happy with the treatment provided and all the good information about the treatment.
V. professional and understanding, thank you
Great advice and felt comfortable and relaxed about the procedure and aftercare. Highly recommended.
– eye pads to protect my eyes were great
– professionally administered treatment with clearly explained steps
I have been coming to see Claire for 15 years and always been very pleased – which is why I return!
Very good care and attention. Made me feel very comfortable and relaxed.
Clare is absolutely wonderful. Nothing is too much trouble and gave me more than enough time. I am very pleased with the results and will be returning for sure.
Really appreciate Clare’s kindness and understanding – not to mention patience – guiding a nervous patient through the process.
……………
Perfect service!
Amazing results – so natural but still gave me the confidence I needed. Will definitely be returning. Thanks Clare! <3
I am extremely pleased to have found Clare. I have had unpleasant experiences in the past and Clare has given me confidence that the care and support she gives is as important as the results she achieves with the treatment.
thoroughly recommend
Excellent service from all the team. I work long hours and Clare and her team have exceeded my expectations, always polite and friendly when re-arranging my appointments.
Ihave complete confidence in Clare as an experienced empathetic practitioner. Her results are natural, leaving me looking and feeling confident.
I first went to Clare for Sclerotherapy in 2004 to treat spider veins on my thigh. She has always been very professional but with a caring and empathetic attitude. This has enabled me to have complete confidence in the medical side of my treatment. As Clare’s business has grown and I now see her regularly for other treatments which gives me confidence that I look my best. She is now in lovely premises in Marlow and her team have managed to keep the personal touch and make you feel special. I wish them every success in the future.
I wanted my lips plumped but was always worried they would look unnatural an meeting clare she assured me thats not what she wanted to do + only would go with a natural look, I had them done + I love them. I wake in the morning hoping they look as they did the day before and they do. Big thank you. Jackie
I have always been a bit dubious about having any cosmetic procedure but as a permanent frowner I wanted to be frown free and Clare was recommended to me. She instantly put me at ease and was very informative. Also knowing all of her qualifications and experience gave me confidence as you hear so many horror stories out there. In a nutshell Clare has provided me with great natural looking results and I highly recommend her to others.
I don’t normally write reviews but Clare McLoughlin has been a life saver! I came to see her after having a disastrous treatment at another Marlow clinic where the person bruised me badly, and worse dropped my right brow which left me looking lopsided like I’d had a stroke – I was gutted!!!
Lovely, lovely Clare was so knowledgeable and was able to sort me out. (I hadn’t realised that Clare has been teaching wrinkle relaxing injections and skin fillers for many years).
Anyway, Clare did some advanced technique injecting and I was amazed that she was able to bring my brow back up. I would never go anywhere else now. I have had subsequent treatments with her including skin needling, further wrinkle relaxing injections and skin fillers to my lips and cheeks. I am having a peel next, and my leg veins treated this autumn. I can recommend Clare because she knows what she is doing, actually cares about you, and always makes me look and feel great without anyone knowing that I have had a treatment. When I have a treatment with Clare I come away full of confidence.
Ella Collins
Bourne End
I have known Clare for many years and she not only makes me feel good, but she also makes me feel in very safe hands – Clare has a real talent to use the right treatment at the right time.
Her clinic is awesome and the opening time very generous and accommodating.
I also put my (adult) daughter in her hands for acne scarring treatment, and I have no hesitation that Clare does the right thing for her skin.
I sincerely recommend Clare.
I have been in Clare’s hands for many years and I not only look good but I always feel safe and taken care off. Clare has a real talent in selecting the right treatment at the right time, her clinic is excellent and the opening times could not be more generous. I had botox, fillers, intracell and specialist home treatment kits. I sincerely recommend Clare’ talent and treatments.
Very pleased with treatment & results. Clare’s Thorough Aftercare advice following treatment a godsend, very reassuring & professional. No hesitation to recommend.
As a beautician I have good knowledge of skincare. My consultation began with a skin analysis using a machine which showed skin damage not visible to the eye. I was pleased to see that my regular use of sunscreen had paid off!!! I had booked in to have the Fire and Ice medical facial to resurface and rehydrate my skin. The results were beautifully soft, smooth, radiant skin. Clare was professional and made me feel very relaxed and comfortable, I was made even more relaxed by the gentle background music. I did not feel pressured to buy any products and left with a goodie bag of samples to try at home. All in all a very pleasant experience and I will definitely be back!!!
Being new to this industry and the various procedures available, I can not rate Clare highly enough. She offered me facts and information based upon what I presented her with. I had always avoided approaching such services because of the horror stories and a reluctance to be greeted by over the top sales people. Clare is medically trained, professional and I came to trust her sufficiently to have a treatment. For which I was delighted with the results. As a mother of two, safety and results were my priority. Clare excelled in these areas and I would gladly recommend her as a practitioner. Brilliant. Thank you
Very knowledgable and professional
Very informative, very knowledgable. Thoroughly recommend Clare
Excellent professional service, very pleased with my new lips!!!
As always, very pleased.
I have been having treatment with Clare for over 10 years and can thoroughly recommend her. She is extremely experienced, and her results are fantastic, and above all she is kind and friendly, she has become a good friend.
Excellent treatment, very professional. Would recommend Appearance Based Medicine. As Registered Nurse myself I felt very reassured that Clare was very knowledgeable and experienced in the treatments I received, it was obvious to me that she had my interests at heart all the way through. Not only did Clare tell me which treatments would benefit me personally she explained why others were not appropriate. Good clear explanations given throughout. Thank you.
Removed all my nerves and provided an outstanding service. Highly recommended
Clare is patient and kind, and I value her advise and high standard of practice and experience.