Granule Prescription

Monday - Friday 09:00-17:30excludes weekend & bank holidays+44 1245350822 (Switchboard)dispensary@phoenixmedical.comOrder before 14:00 GMTsame day dispatch*

PLEASE FILL IN THE FIELDS MARKED BY *

Please note when using the prescription form if you have typed in duplicate herbs, one will be disregarded.
The minimum charge of the prescription is £15 (excluding packaging fee).
When placing prescriptions, including repeat prescriptions please check all inputted information carefully. If you are unsure about anything, please contact us before submitting the prescription

Patient Name (for prescription label use only): *

Prescription Batch (if applicable)

Prescription Instructions / Dosage (maximum 150 characters allowed): *

Add Commonly Used Formulas

No.

Pin Yin Name

PP (£)

QTY (g)

TT (£)

No.

Pin Yin Name

PP (£)

QTY (g)

TT (£)

Add More Herbs

Please select the number to multiply your formula to the desired amount.

Select Packing Bags

Additional Information

Select a format
Granule (£0.00)
Sachets (£2.50)
Tablets (£3.00)
Gelatine Capsules (£4.00 per 100g block)
Veg Capsules (£5.00 per 100g block)

Total Weight (gram)

Sub Amount (£)

Total Cost (Include £1 Packaging Fee)

I confirm that I have reviewed the information above and it is correct.