I do believe many practitioners will work with you even if you live in England. It is not necessary to see the practitioner in person, since everything is based on the hair test and symptoms. I've never met my practitioner, but speak to her regularly on the phone and we email. The supplements are mailed to my home, and I mail her hair samples. You could contact her, http://www.forperfectbalance.com, her name is Suzannah.