Home
No posts were found.
Treatment Type---Select Treatment TypePain Clinic -> AcupuncturePain Clinic -> ReflexologyPain Clinic -> CraniosacralPain Clinic -> Lymphatic DrainagePain Clinic -> PodiatryPain Clinic -> Sports MassageBeauty Treatments -> FaceBeauty Treatments -> BodyBeauty Treatments -> Hair RemovalBeauty Treatments -> Aesthetic PractitionerTalking Therapies -> Nutritional TherapistTalking Therapies -> Counselling & PsychotherapyTalking Therapies -> Blood Pressure & BloodTalking Therapies -> One to One Coaching / Personal DevelopmentTalking Therapies -> HypnotherapyBody Treatments -> Hot Stone MassageBody Treatments -> Full Body MassageBody Treatments -> AromatherapyBody Treatments -> Detoxifying Mud WrapBody Treatments -> Hip & Thigh TreatmentBody Treatments -> Indian Head MassageBody Treatments -> ReikiHair Removal -> Laser Hair RemovalHair Removal -> WaxingHair Removal -> Threading
Date
Time---MorningAfternoonEvening
Title:Mr.Mrs.Miss.Ms.Dr.Prof.Rev.Lord.Snr.
We'll contact you within 48 hours to confirm your repeat prescription order.
Choose your nearest pharmacy:Teddington: KC PharmacyTeddington: Kirby ChemistTeddington: Alphega PharmacyTwickenham: Maple Leaf PharmacyTwickenham: Goode PharmacyRichmond: Richmond PharmacyRichmond: Kanset PharmacyHampton: Hampton Hill PharmacyHampton: Health On The Hill
I am nominating on behalf of:MyselfSomeone else
Gender:MaleFemale
Date of Birth:
(If known - This can be found on the top right hand corner of your prescriptions)
I choose KC Pharmacy as my nominated pharmacy for EPS prescriptions and appliances
I authorise KC Pharmacy to order/collect my repeat prescriptions until further notice
KC Pharmacy will not pass on your details to anyone not involved in your clinical care. Please read our T&C's
Pharmacy Service Type---Select Service TypeBlood pressure CheckStop Smoking ServiceFlu VaccinationsHealth AdviceTravel AdviceDiabetes TestingErectile Dysfunction ServiceMalaria TabletsContraceptive PillHair Loss Treatment