Lymphoedema Sign Up form

This sign-up page is for nurses and clinicians/specialists that handle prescriptions for lymphoedema patients. It enables your clinic to sign up to the Patient Choice Home Delivery Service.

As a dispensing appliance contractor (DAC) we aim to deliver the best deal for patients and the NHS. On this page you can find both our sign-up form and a short video on why nurses are so positive about our approach and the difference it makes to them and their patients.

Once we receive this completed form, our Customer Experience team will contact you immediately to talk you through the process. 

Here are some links to helpful documents to download:

Sign-up guide for clinics: here
Clinic referral process flow chart:
click here to see an image
Patient sign-up form: here.
Clinic 6-month reorder process: here

Please also share this page with a colleague you believe may benefit from our service.


"My main problem before using Patient Choice was to liaise with GP surgeries in order to request prescriptions for my patients. This was a time-taking process, not always successful and definitely frustrating. Usually my emails were going missing. I had to spend hours on the phone to get in touch with surgeries' receptions only to find out that I need to send the request again… 

"Patients were waiting endlessly for their garments initially, giving this up and buying garments themselves. Co-operating with Patient Choice is the best that could happen for my patients and me. This is such a straightforward process now. 

"All I need to do is to send a request online directly to Patient Choice and wait for the garment to be delivered to my patient’s home address. Patients need to do absolutely nothing, just wait for the delivery. The Patient Choice team is absolutely fantastic."

Sylwia Labecka-Czarnik

Lymphoedema Practitioner, The Harley Street Clinic and LOC

Sign-up form

Please complete your details below and we will contact you about our services.