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Stop Smoking

Please complete the form and schedule a convenient time for your appointment (as appropriate). 

STEP 1

Please ADD the product to CART and proceed with the Payment to confirm your booking/order for the test.

Step 2

The information you provide us in this consultation will be used by the pharmacist to make recommendation of safe and suitable treatments for your condition; and will be treated confidentially in accordance with our privacy policy.

Thank you for submitting your request for a prescription only medicine from My Private Pharmacist. One of our pharmacists will review your request and we may contact you as necessary for more information.  We will send you a 'direct link' to the recommended product so you can complete your purchase on our website.

Consultation for Prescription Treatments 

Complete Form

We will be in touch to advise you on the available treatment, prices and processing payments. 

You can make a payment over the phone, via payment link or bank transfer.  

Under Review

The information you provide us in this consultation will be used by the pharmacist to ensure the suitability and safety of the treatment you are looking to purchase. Any information you provide will be treated confidentially in accordance with our privacy policy

Stop Smoking

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