top of page
Pharmacist  in aisle of Pharmacy
Consultation Form

For new customers, please fill out the form below

Why do I need to complete a health form?

 

As this is a prescription-only medication, we need to ensure you are suitable to use this medication. Your information will NEVER be shared with any 3rd party. We only share your information with our pharmacy partners, who dispense your medication.

PLEASE NOTE: We will require a form of ID to verify you are over the age of 18 and that we are prescribing for a real person.

.

What happens after I have done the form?

Your form will be screened by a prescriber and we will contact you with the outcome as soon as we hear. This can take up to 48 hours to process. 

Multi-line address
Birthday
Month
Day
Year

What are the next steps?

REVIEW
We review your form to ensure suitability to use the medication.

payment
Payment is made and the pharmacy will dispense your prescription.

DELIVERY
The pharmacy will deliver to your chosen address.

Delivery Policy  |  Returns & Refunds  |  Privacy Policy

Medicines & Risk Policy  | Terms of Sale |  Contact Us  |  Complaints

Reporting a Product Fault  | Reporting Medication Issues

 

AJ Hill ® 2025

Registered Company: MH&W Ltd (15203230)

0333 533 9019    info@ajhillaesthetics.co.uk

Our normal operating hours are:

Mon-Fri 9am-6pm

Sat-Sun 10am-4pm

We may email you outside of these hours.

AJ Hill is not an online pharmacy - we are an online clinic between patient, prescriber and dispensing pharmacy.
You are forwarded to a UK regulated prescriber for review. If approved, your prescription is then dispensed by a UK registered & regulated pharmacy. Please be aware that results and benefits may vary from patient to patient taking into consideration factors such as age, lifestyle and medical history. We assess every patient on an individual basis. A treatment plan is advised only if there is a physical and/ or psychological indication for treatment and we will review and monitor your progress.

Our pharmacy suppliers include:

Church Pharmacy (GPhC Registration: 1121625)

Teleta Pharmacy (GPhC Number: 9011283)

Want to try non-medicated weight loss?

NHS 12 Week Plan

Trustpilot-Logo_edited.png
bottom of page