Telephone +44 (0) 20 3176 0024

Please register first to obtain treatment
Registration is free and without obligation to order

Registration Explained

To continue your order, please complete the registration form, this will take about 2 minutes. The information is for the sole use of the Doctor to assess your condition and approve you for treatment if applicable. The information will not be used for any other marketing purposes whatsoever.

For further information, please check our registration FAQ's.

Registered with the care Quality Commission

Registration for Treatment with FirstMed

Step 1 of 3: Your personal details

Please provide your personal details, this information is needed by our doctor in order to write a UK licensed prescription for treatment. The information will be held in strictest confidence and will not be used to send you any information unless requested.

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Title:
First Name:
Surname:
Date of Birth:
Gender:		Male Female
Your Delivery Address:

Town / City:
Country:
Postcode:

Telephone:
Mobile number:
(Needed for SMS confirmation of Registration)

Email Address:
Confirm Email Address:
Password:

Would you like to receive promotional emails from us, including special offers and discounts?
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I have read and accept the terms and conditions