Once you have submitted your information, we will be in touch within the next working day to find a suitable day and time for your consultation.

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What type of medical treatment are you looking for?

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Please provide as much detail as possible about your condition and medical needs.

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How soon do you require this treatment?

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How long have you been searching for treatment?

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Have you already engaged or been assessed by a doctor/medical practitioner with relation to your condition(s)?

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Are you open to travelling outside the UK for the necessary treatment?

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First name

Last name

Email

Age

Prefix

Phone number

Postcode

Gender

IMPORTANT: By placing your order, you agree to our Healthcare management terms and conditions

Personal Data: Your personal data will only be used by GlobMed to manage and procure healthcare solutions and treatment (and will not be commercialised, sold, or used by GlobMed for marketing or scientific research purposes). Privacy Policy

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