This health form will be used by our partner prescribers & pharmacies to assess your safety & suitability to use the medication.

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At the end of the form, you will have the option to pay now or you can wait for approval and an invoice to arrive via email - it may go to junk mail / spam folder so please check those. Please note, a £25 admin fee applies if you cannot provide information pertaining to your requested order or if you cancel after the order is reviewed by our partners. If you are medically unsuitable for treatment, a full refund will be issued and we will absorb the £25 fee to our partners.

 

Please read all the information carefully and complete all fields. If you have NOT used the medication before, you will be prescribed the starting dose. If you have used the medication before, please upload proof of previous usage - failure to upload may delay your order