Please complete this medical questionnaire before your appointment. A copy of this has been emailed to you as well. If your answers are all OK, then the prescriber may decide to email you a confirmation of prescription.

Once it has been prescribed, you will receive an email explaining how the medicine will be delivered to you. If you have any questions, please call us on 0141 404 6545. 



Click or drag files to this area to upload. You can upload up to 5 files.