Brookes Pharmacy | Alli PurchasePagePurchase Alli 42 packAlli Slimming, Brookes, pharmacy, alli, slimming aid, diet ,weight-loss, aid, pill

 

 

1.Your e-mail address 

2.How many Alli (42) packs  would you like to order   1     

years months    Are you pregnant or breastfeeding ?  Yes  No

3.Please confirm your BMI (body mass index). If you don’t know it, please provide your weight and height .NB .ALLI is only suitable for adults with  a BMI of 28 or above
  


4.Existing Conditions -
Are you  currently suffering from any medical conditions, please list them here. 
 

5.Other Medicines -are you taking any  medication either prescribed or purchased? Please enter details 
 

6 Any Allergies -Do you suffer or have you ever had any allergies to medicines , if so please state
   


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