+ UK Registered Pharmacy / We are a registered pharmacy (Reg No. 1042081) with the GPhC
Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.
To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.
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This can include:
If yes, please list your medical conditions.
If yes, please list your allergies.
If yes, please list what other medications you take.
If yes, please tell us what you are taking.
Please answer the following questions to understand more about your specific condition
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