REPEAT PRESCRIPTION ORDER FORM

(without valid Medical Card)

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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.

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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.  

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