Tel: 1-844-445-2624 (1-844-HIJAMAH)
Services and Rates
Announcements & Updates
Lunar Schedule for Hijamah
The HijamahWorks Method
Policy on Mental Illness, Magic, Sihr, Posession
Policy on Sterilization and Cups
Please fill out the following Appointment Request Form and a Customer Care team representative will call you back within
3-5 business days.
: The return call will come from
We highly advise saving this # to your contacts
so you know it's us calling!
This Form is for Existing Patients only.
If you are a New Patient please fill out the
New Patient Application Form
Your Full Name
Please provide us a Tel # where we can call you back. A Mobile phone is preferred (so we can send u text reminders).
Mississauga (Selected Weekends)
Offsite (Requires a group of 8+)
Choose a location preference
Number of People in your Group
Let us know how many people you are requesting an appointment for (Ex. For couples, families, groups of friends, etc.)
We are a Couple/Family/Mixed Group
Please tell us if you require service for a Brother, Sister, or a Group.
Type of Appointment
Islamic Sunnah Hijamah
You may select more than one, so we can plan a combination appointment and/or allocate additional time if required.
Do you have a preference for appointment date?
I'll take the earliest available
I have a specific date in mind (please mention in Goals section)
Please bear in mind the more strict your preference, the longer you may have to wait for your appointment.
When was your last appointment with us?
Please tell us your questions or describe the issues you'd like to address. If you are from out of town and or have any specific dates, please let us know and we'll do our best to get you in. If there is more than one person in your group, please provide the full name and email addresses for the other participants.
Please tell us the best time of day to call you back
Please give us an idea of the best time of day to call you back. For example if you drop your kids to school or commute by train to/from work. This is to ensure we get in touch as soon as possible and lose time playing "phone tag".
Terms & Conditions
I have read and understood the Terms & Conditions
I confirm I have never had black magic (sihr) or posession
Types of Hijamah
HijamahWorks Policy on Spiritual Illness, 'Ayn (Evil Eye), Black Magic (Sihr) and/or Jinn Posession
Policy on Cups
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