Heathershaw's Order Form

PATIENT DETAILS
Your Name*

First NameLast Name
Mobile*
04## ### ###
Your E-mail*
example@example.com

SEMAGLUTIDE REORDER FORM

PLEASE COMPLETE THE FORM CAREFULLY
With regret, compounded semaglutide is no longer available.

Commercial medications (Wegovy or Ozempic) are available to patients with a valid prescription (subject to continuing availability).

Order Ozempic here and Wegovy here (maximum's apply).

Follow these 3 easy steps after clicking on the link/s
1. Log in using your email ID to access the page. You'll receive a 6-digit password via email. This step takes only 15-30 seconds.
2. Upload an image of your prescription and fill out the required information.
3. Add your medication(s) to your cart, choose your preferred supply method (postage or pick up), and pay using a credit or debit card.
Thank you for your understanding.
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