Pharmacy Referral

Pharmacy referral form

Are you ready to refer?

Please ensure you have registered with us before referring…

To register, please click on the link to complete:

(NOTE: All registrations will be  subject to verification) 

Referral process:

1. Conduct a consultation with the patient & conclude on possible POM requirement.

2a. Discuss & approve referral/ consultation cost with the patient & call HLC to discuss clinical issue.  2b. Connect patient to have consultation with HLC.

3. Fill and submit the referral form below to HLC.

4. Private Rx will be sent to referral Pharmacy for dispensing.

5. Take consultation charge from patient on behalf of HLC


Consent to send draft to G.P.

× How can we help you?