By law our pharmacist is required to ask for some more information from you before supplying certain medicines in the UK, just like the one you have just purchased. This is much like a doctor is required to conduct a diagnosis before prescribing any medication. Please be kind enough to answer the following medical questions so that we can get your item shipped out to you as soon as possible.

Your order will not be shipped without full completion and approval of this form

Rest assured that your responses are kept highly confidential and will not be shared with anyone outside of our company. These questions are a legal requirement for us to supply you the medication purchased. Patient safety is important to us and hence we need these questions answered so that our pharmacists can authorise your orders despatch - without which we would not be able to proceed. We look forward to receiving your response and thank you for your understanding.

Thank you for shopping with us.

If you would rather call and talk to us about these questions, you can call us on

0116 326 4273

(Mon-Fri 9am-5:00pm)