071 914 2396
Video Consultation Booking Form
To complete a video consultation in the privacy of your own home, please select an appointment time and complete the medical questions. Once you complete the booking, a link to our video conference call will be sent to you via SMS text or email.
Your preferred appointment date: *
We will contact you to confirm the exact date and time.
Your preferred pharmacy: *
Full Name *
Date of Birth *
Email *
Mobile Number *
Medical Questions:
Your GP's name: *
Please describe the condition you wish to discuss: *
Is there anything else you would like our pharmacist to know before the video consultation:
I allow Higgins Pharmacy to contact me about this appointment: *
* Denotes required field
© 2026 Higgins Pharmacy Sligo website development Ireland by Dmac Media