Request treatment · {{ t.name }}

{{ heroHead }}

{{ heroSub }}

{{ p.n }}{{ p.label }}
Treatment requests are on their way.

Our online request form is being connected to the clinic system. In the meantime, call us or send an enquiry and we’ll start the assessment with you by phone.

About you

We use these details to find or create your record in Cliniko, our clinical system, so you only have to tell us once.

Your health

Answer as fully as you can. Nothing here decides the outcome on its own — a GP reads every request.

Do any of these apply to you?
Blood thinners (anticoagulants such as warfarin, apixaban, rivaroxaban)
Antiplatelet medicines (aspirin, clopidogrel)
Steroids, chemotherapy or other immune-suppressing treatment
A current infection, or antibiotics in the last two weeks
Pregnant, possibly pregnant or breastfeeding
Significant heart disease
Kidney disease
Liver disease
A bleeding or clotting disorder
A previous reaction to an injection or infusion
An implanted device (pacemaker, joint replacement, other implant)
About this treatment

{{ specificIntro }}

{{ q.label }}
Information and provisional consent

Please read the treatment information, then confirm the statements below. This is not your final consent — your doctor will go through it with you again before any treatment.

Key information · {{ t.name }}
{{ s }}
 Full patient information ⟶
Your signature
Sign here with your finger or mouse

{{ error }}
Thank you — your request is with our doctors.

Your reference is {{ reference }}. We’ve emailed you a link to follow progress. A GP usually reviews requests within two working days; we’ll let you know whether you’re approved, whether we need anything more, or whether a consultation would help first.