About
Treatments
Facial Injectables
Wrinkle Relaxing Injections
Dermal Fillers
Profhilo & Meso
Sculptra
HarmonyCa
Skin Treatments
Skin Peels
Microneedling
Obagi Rx
Obagi Non Rx
Jan Marini
Body Treatments
Fat Dissolving Injections
Leg Thread Vein
Excessive Sweating
Cryosurgery
Other Services
Vitamin Booster Injections
Private Prescription
Jane Iredale Mineral Make-up
FACIAL
INJECTABLES
WRINKLE INJECTIONS
DERMAL FILLERS
PROFHILO & SKINBOOSTERS
SCULPTRA
HARMONYCA
SKIN
TREATMENTS
PLATELET RICH FIBRIN
SKIN PEELS
MICRONEEDLING
OBAGI Rx
OBAGI NON Rx
BODY
TREATMENTS
FAT DISSOLVING
LEG THREAD VEIN
EXCESSIVE SWEATING
CRYOSURGERY
WEIGHT LOSS INJECTION (GLP-1)
OTHER
SERVICES
VITAMIN BOOSTER SHOT
PRIVATE PRESCRIPTION
LUMIGAN LASH Rx
JANE IREDALE MINERAL MAKE-UP
JAN MARINI
Locations
Pricing
Shop
Aftercare
Contact
X
About
Treatments
Facial Injectables
Wrinkle Relaxing Injections
Dermal Fillers
Profhilo & Meso
Sculptra
HarmonyCa
Skin Treatments
Skin Peels
Microneedling
Obagi Rx
Obagi Non Rx
Jan Marini
Body Treatments
Fat Dissolving Injections
Leg Thread Vein
Excessive Sweating
Cryosurgery
Other Services
Vitamin Booster Injections
Private Prescription
Jane Iredale Mineral Make-up
Locations
Pricing
Shop
Aftercare
Contact
About
Treatments
Facial Injectables
Wrinkle Relaxing Injections
Dermal Fillers
Profhilo & Meso
Sculptra
HarmonyCa
Skin Treatments
Skin Peels
Microneedling
Obagi Rx
Obagi Non Rx
Jan Marini
Body Treatments
Fat Dissolving Injections
Leg Thread Vein
Excessive Sweating
Cryosurgery
Other Services
Vitamin Booster Injections
Private Prescription
Jane Iredale Mineral Make-up
Locations
Pricing
Shop
Aftercare
Contact
APPOINTMENTS
PRESCRIBING SERVICE for NMC REGISTERED NURSE FORM
This form must be completed and documented evidence provided.
Full Name
(Required)
Please provide your full name as registered with the Nursing & Midwifery Council
Phone
Date of Birth
(Required)
DD dash MM dash YYYY
NMC Registration Number
(Required)
Please provide your Registration Number
Current Registration Expiry
DD dash MM dash YYYY
Please provide the date your registration will expire
Please confirm the following
Medical Malpractice Insurance for All Relevant Treatments
Certified Training with Approved Organisation All Relevant Treatments
Identity Document, Driving Licence or Passport
Emergency Procedure Training/Complications Management
Current Basic Life Support Training
Current Infection Control
Membership of ACE or Other Complications Group
Select All
You must provide evidence of the above, you can email the copies of documents to prescriptions@md-medical.co.uk
Prescribing Service Procedure
Procedure
(Required)
Register with e-prescribing service pharmacy
Set up your business on my booking system
Book prescription appointment with comment their mobile number
Receive copies of Medical History, Dosing Chart & Receipt of Payment
Select All
Prescribing Procedure checklist set up your business use your business name and address not personal details https://md-medical.co.uk/locations/ Medical History will be sent before the appointment so that suitability is assessed beforehand, if this is not completed and the customer is not medically suitable you will be responsible for the prescribing fee.
Prescribing Contract
I confirm that the information provided is correct
I confirm that the documents provided are copies of the original documents
I confirm that I will update you to any professional misconduct or investigations by my employer or the NMC
I will send up to date training for BLS, Infection Control & Emergency Procedure
I confirm that I will ensure my Emergency Kit available at all times
I confirm that I will store all medicines as per guidance & manage my emergency kit accordingly.
I confirm that I will administer the prescribed medicines in accordance with my prescribing guidance
I understand that cancellations of less than 24 hours will incur a 50% Fee £12.50
You must select all the following and agree to the terms of this service, evidence annually must be provided. You must also confirm that the information provided is accurate and agree to the terms of the service as outlined above. Your signature is required.
Signature