Keats Healthcare - UK Clinical Trials Procurement

Product Request

Please feel free to request a product. Our team will be happy to get in touch to discuss your needs.

Alternatively, if you would like to make a more general enquiry about Keats and our services please click the 'Make an Enquiry' link in the left hand menu.

To make a product request please fill out the form below and click submit.
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Your Details
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Product Request 1
Product Name
Dosage
Packet Size
No. of Packets
Documentation Required
Manufacturer
Batch No.
Expiry Date

Product Request 2 (If needed)
Product Name
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Manufacturer
Batch No.
Expiry Date

Product Request 3 (If needed)
Product Name
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Documentation Required
Manufacturer
Batch No.
Expiry Date

Product Request 4 (If needed)
Product Name
Dosage
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No. of Packets
Documentation Required
Manufacturer
Batch No.
Expiry Date

Trial Details
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Registered Office: Wilmot House, St James Court, Friar Gate, Derby, Derbyshire DE1 1BT
Registered in England and Wales No. 05016103

Keats Healthcare Ltd.

Product Request

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