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Doctor Referral Forms
Are you a GP requiring an iron infusion for one of your patients?
We can provide this service for you – usually on the same day. Please fill out our encrypted e-form for your convenience and to ensure confidentiality.
You will need to provide your patient with the prescription for ferricย carboxymaltose, which is to be filled and provided to the Dripclub staff prior to infusion.
Any questions please Contact Usย or call us on 1800 DRIPCLUB (1800 374 725).
*Please note. Prescription and doctor’s referral form must be provided by the same practitioner.