This form provides us with important information about you, your health and your upcoming cosmetic tattooing procedure. We'll contact you once our pharmacist has reviewed your information and confirmed this medication is right for you.
Patient details
We need this to legally dispense your topical anaesthetic. We'll ship it directly to the clinic if selected.
PLEASE NOTE: SHIPPING CHARGE CHANGED 01/08/24 DUE TO AUSTRALIA POST INCREASES
Clinic details
Patient medical history
Thank you for contacting us.
Your invoice will be issued within two weeks of your appointment date.
Quick Links
Contact Information
Phone:
07 3354 3992
Fax:
07 3355 6373
Email:
info@compoundingpharmacy.com.au
Address:
10 Dallas Parade, Keperra, QLD, 4054
Business Hours
Certifications
Qualified Pharmacists
Memberships
Professional Compounding Chemist of Australia
