Trusted Home Delivery for your Patients’ Stoma and Continence Needs

SecuriCare makes it easy to ensure your patients receive their prescription appliances without delay.

What happens when you refer a patient

Fill out the patient referral form

We’ll set up your patient on our home delivery service and notify their GP surgery.

We call your patient

Once they are set up and the surgery is notified, we’ll give your patient a call and send out their first order and welcome pack.

We'll confirm everything with you

We’ll let you know once everything is set up for your patient.

"*" indicates required fields

Step 1 of 5

Phone

This field is for validation purposes and should be left unchanged.

Your first name*

Your last name*

Work Email Address*

Work Phone Number*

Job title

Hospital / Base