Diabetes Screening
Slattery's Pharmacy
Personal Information
First Name
*
Last Name
*
Date of Birth
*
Use this format: day/month/year. Example: 14/11/2024
Email Address
*
Phone
*
Your GP's name and contact details
*
Appointment Details
Please, select a date:
Sorry, no dates available.
Please, select a time:
Final Details
We will be in contact with you within 24 hours to book the service.
Continue to Payment
Amount due:
€20