REPEAT PRESCRIPTION ORDER FORM
(without valid Medical Card)
To request repeat prescription fill out the order form below and click "Proceed to Payment" to continue to process payment online by credit card. Please allow 48 hours for processing. A confirmation email will be sent to confirm your request, please check your spam if not received.
Please note: This repeat prescription order form is for private patients without medical cards. If you do have a valid medical card, please fill out THIS FORM instead.