Steps to treatment

Fill in the New Patient form and submit it

Once we receive the Patient Form we will contact you to schedule an appointment

After your consultation with our Doctor, the NCC team will start the application process

Once approval has been obtained you will receive your script and approval

NCC will provide monitoring and ongoing support throughout your treatment

NCC will keep your GP up-to-date regarding your ongoing treatment

Presonal Details

Personal Medical
History

Additional Information

PLEASE PROVIDE TWO EMERGENCY CONTACTS (IF POSSIBLE):