Please use this page to register your interest in gaining access to our UK only Hirudotherapy shop. You can download and complete our Disclaimer Form using either PDF or Word document below (both are the same) and use the form on this page to email it back to us.
Once we have received your completed Disclaimer will we email you an invitation to create a User Account using the details you have given us on the form. Please allow up to one working day to receive this invitation.
Once we have received your completed Disclaimer will we email you an invitation to create a User Account using the details you have given us on the form. Please allow up to one working day to receive this invitation.

disclaimer_form_2018.doc.docx |

disclaimer_form_2018.doc.pdf |