Topical anaesthetic (numbing cream/gel) CLIENT QUESTIONNAIRE & EVALUATION FORM

***PLEASE READ***

Please complete questionnaire and push submit. Then click on the link to the payment portal.

Sometimes a cart empty notification will pop up, no need to worry about this. 

PLEASE GO TO ONLINE STORE TO PAY FOR YOUR ITEM.

Pre-numb Cream and Stay-numb Gel 10g – Byron Compounding Chemist (if you require both the Pre-numb and the Stay-numb - check with your therapist.

or Stay-numb Gel 10g – Byron Compounding Chemist (if just the stay-numb gel)

or Pre-numb Cream 10g – Byron Compounding Chemist (if just the pre-numb cream)

There will be an additional $12 post charge if you need the product/s sent out to your chosen clinic (preferred) or home address. 

We will call you if there is anything on your questionnaire we need to discuss.  Once we have received your completed online questionnaire we will post your order out to your allocated clinic (preferred) or to your home address. Alternatively, you may arrange with your therapist to collect on your behalf.

Please ensure you fill out the name of the clinic where you are booked in for your procedure. 

Here is the link to the payment portal again:  Pre-numb Cream and Stay-numb Gel 10g – Byron Compounding Chemist

Thank you!