Request a Prescription

Enter your details below to request a prescription:

Repeats are provided at your doctors discretion. Some medicines always require a consultation.

We will only be able to fax your prescriptions - no pick-ups from the practice please.

 

Please allow 48 hours for your prescription to be processed. Fields marked with an asterisk * are required.

If you want to check your medications or have them reviewed please make a Doctors appointment.

Please do not order anything but medications on this portal.  

Your details:
If you wish to be contacted by email, please enter your email address:
Please select your doctor:
Please enter the type and amount of medication you require with as much information as possible.
Choose your collection method:
If you have chosen fax - please enter the name of your preferred Pharamacy:
Verification