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REPEAT PRESCRIPTION ORDER FORM

(with valid Medical Card)

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To request repeat prescription fill out the order form below and click "Submit". Please allow 48 hours for processing. A confirmation email will be sent to confirm your request, please check your spam if not received.

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Please note: This repeat prescription order form is for patients with medical cards only. If you do not have a valid medical card, please fill out THIS FORM instead.  

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