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Pain

Pain is a sensation that usually occurs as a response to an injury or illness. Pain can have a significant impact on your daily life therefore it's important to get the treatment that you need.

Please fill out the form below so that our clinicians can determine if the treatment will be suitable for you to take.




To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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Male
Female

















To help us understand that this treatment is the right option for you, please answer the following questions. If you get stuck or need any help, you can contact us.

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This is a one-time occurrence
Every day
Several days a week
Every Week
Fortnightly
Every Month

1
2
3
4
5





Please answer the following questions to help us confirm that you'll follow the guidelines for this medicine.

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