Pay Online

Please Note: This is a payment facility only to be used if you have spoken to a member of our team and requested a service. If you wish to make an appointment please book using our online booking system or contact us directly.

"*" indicates required fields

Name*

Contact Number*

Email*

Receipt number

Medical Card or Private?*

Medical Card

Private

Select service you wish to pay for

Telephone ConsultationVideo ConsultationFace to Face Doctor VisitNurse VisitNurse Visit with ECG24hr Blood Pressure MonitorConsultation & joint InjectionImplanon insertionImplanon removalImplanon removal/insertion same dayCoil InsertionCoil Insertion Pre-visitCoil Insertion InsertionCoil Insertion Post-visitOther

Select service you wish to pay for

Sick NoteFormsJoint InjectionCovid PCR SwabbingOther

Other Service

If you are paying for something else not listed above please type in the price here and enter the service name in the "Additional Information" box provided below.

Total

Additional information

Credit or Debit Card*

Card Details

Cardholder Name

Privacy Policy*

We will use your data above to process your order. We will not use your data for any other purpose.

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Phone

This field is for validation purposes and should be left unchanged.

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