Ruqyah Booking - Masjid Al-Sunnah

Your request will be reviewed. If an appointment is available, a consultation meeting will be arranged in the masjid.

After the consultation assessment, the imam may arrange a home booking where appropriate.

If female, a mahram must accompany her.

Details are used only for assessing your application.

Full Name *

Gender Prerequisite

Female

Male

Mobile number *

Include country code if outside the UK.

Email address

Nationality *

How did you hear about us?

What is the reason you require ruqyah? *

I confirm the information is accurate and understand this form is for assessment only. If female, I confirm a mahram will accompany me.

Disclaimer: This detail won’t be used for any other purpose but to assess your application.

Ruqyah Service