Carers communication portal & special requests

At The Chemist Shop we recognise that each patient is an individual with their own specified needs and requirements. We have created this special requests page for all carers, whether it be immediate family members looking after a loved one or carers from a particular organisation.

We are here to be a part of your team and to work together for the benefit of the patient. I encourage and challenge you to use this portal as a means of communication wherever a particular product or service is requested. We will endeavour to look into your request and respond in an efficient and prompt manner.

   
  Carer's Name
  Carer's Number
  Organisation
  
   
  Patient Contact
  Information
   
  Further
  Information
   
  Urgency




   
 
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