1. Thank you for your order.
Here at Clinidirect, we strive to delight our customers
through our healthcare home delivery service that offers a
caring, dependable and timely response to your needs.
Whichever product you use, our friendly team
will take great care in managing your order.
Clinidirect Home
Delivery Service
Caring for your needs,
one delivery at a time!
FREEPHONE: 0800 012 6779 9.00am – 5.00pm,
Monday to Friday
www.clinidirect.co.uk
Caring for your needs,
one delivery at a time!
FREEPHONE: 0800 012 6779 9.00am – 5.00pm,
Monday to Friday
www.clinidirect.co.uk
Welcome
to Clinidirect,
where we take great
care in supplying
your medical
appliances
Exemptions
If you do not have to pay for your prescription, please complete
the following by ticking the relevant box:
I have a permanent stoma
I am under 16 years of age
I am between 16-18 and in full time education
I am 60 years and over
I hold a valid certificate for
Maternity exemption
Medical exemption
War Pension exemption
Names on an HC2 charges certificate
I receive or am a partner of someone receiving
Income Support or income-related Employment and Support Allowance
Income-based Jobseeker’s Allowance
A valid NHS Tax Credit Exemption Certificate
Pension Credit Guarantee Credit (PCGC)
NHS Exemption Certificate Number:
Date of expiry:
Signed:
Date:
Clinidirect is a trademark of CliniSupplies Ltd. CS038_0612

2. Friendly Customer Care Service
CARING FOR OUR CUSTOMERS WITH:
• A repeat dispensing service
• Dispensing all brands of stoma,
woundcare and urology appliances
• Repeat prescription collection service
• Stoma appliance customisation
• Complimentary wipes and disposal
bags with every order
• Urology patients will also receive
a FREE night stand
Our team of trained staff are here to help
take care of all your needs. We aim to
provide a personalised, discreet and polite
service. We’re here 9.00am – 5.00pm,
Monday to Friday to take your orders
and answer any questions
you may have.
Repeat Prescription Form
Please complete this form to enable us to collect your prescription
from your GP, on your behalf.
I authorise Clinidirect to request and collect my prescription
from my GP:
GP Name – Dr
GP Address:
GP Postcode: GP Tel No:
PATIENT DETAILS
Title:
Forname: Surname:
Date of Birth:
Address:
Postcode:
Signed: Date:
Tel No:
ORDERS CAN BE PLACED SIMPLY:
Caring for your needs,
one delivery at a time!
FREEPHONE: 0800 012 6779 9.00am – 5.00pm,
Monday to Friday
www.clinidirect.co.uk
1 By Post
1. Obtain your prescription from your GP
2. Check that your prescription is for
medical appliances only and does not
include medicines
3. Check that all the details are correct
and sign the back of your prescription
4. Post your prescription using a
Clinidirect FREEPOST envelope
2 By Phone (
1. Ask your GP for a prescription for
the items required
2. Check the prescription and sign the back
3. Call us on our FREEPHONE number:
0800 012 6779
4. Please let us know which products
you would like to order
5. Post your prescription using a
Clinidirect FREEPOST envelope
3 By Email
Please include the details below and
contact: info@clinidirect.co.uk
1. Name, address postcode, date of birth
and telephone number
2. Order details including product codes
of the items required
3. Post your prescription using a
Clinidirect FREEPOST envelope
4 By Collection Service
We can collect your repeat prescription
from your GP, if they agree. Please find
enclosed a repeat prescription form, which
should be completed and returned to us.
THAT’S IT! We will then deliver your
products on time and discreetly,
within 48 working hours*
.
*
Orders must be placed before 3pm.