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Consultation Form
For new customers, please fill out the form below
Why do I need to complete a health form?
Although this is not a prescription-only medication and is classed as a supplement, 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.
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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 24 hours to process.