For Members Use Only
Please note: prescription requests can take up to 48 hours to be processed
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Specialist Hormone Prescription Request
For patients on our Specialist Hormone Service
Before completing this form, to avoid delay, please check when your review is due. Your review date will be listed on your last prescription which will have been emailed to you when issued. Where appropriate, your clinician may have authorised a repeat, repeat authorisation is highlighted in the prescription. If this is the case, you can contact the pharmacy directly if you are running out before your next review.
Levitas Clinic Guildford is located on London Road (A3100), opposite Stoke Park. There is free off site parking directly outside Elmdon House on London Road. Disabled parking is available on site. Turn into Elmdon House and follow the signs to the front entrance.
Levitas Clinic Guildford London Locations:
21 Woodstock Street, Mayfair,
London W1c 2AP
58 Molton St, Mayfair,
London, W1K 5SL
23 Harley St, Marylebone,
London, W1G 9QY