treatment order page | Highland Pharmacy

Re-order, contact and query form

Please use this form to reorder your treatment and to contact our prescribers directly with any queries or help you may need.

First name

Last name

Birthday

Day

Month

Year

Address

Phone Number

Which treatment do you need?

Have you had any side effects?

Yes

Please detail any side effects or problems you have had

Any questions or queries?

What is your current weight?

Please detail any new medicines or change in medical conditions since your last review?

Have you had any barriers or challenges to losing weight?

Thank you for reordering your treatment. The pharmacist will review and if needed will be in contact to discuss any issues further.

We attend to submissions between 10am and 4pm Monday to Friday.

Prescriptions are normally ready within 5 working days.

Holiday season!

Please remember to order enough medicines to cover holidays!

Our prescriber will be on annual leave on the following dates, we have intermittent cover for emergencies but please order in plenty of time!

September 22nd- 29th

October 20th- 25th

Update on GLP-1 advice- please read & tick each box to confirm!

patients must inform their surgeon and anaesthetists if they are taking Mounjaro or Wegovy

For month one after initiation and dose changes, females of a reproductive age, need to use barrier method in addition to oral contraception