Your Full Name

Please provide your full name.

First Name

Last Name

Date of Birth

Email Address

Phone Number

Please enter your phone number so we can send you a TXT alert when your prescription is ready to collect.

Your Usual Doctor

Tell us who your doctor is so we can expedite the filling of your prescription.

Prescription Required

What do you need to have refilled? Please specify medication and dosage.

When do you need it?

If you need your prescription filled urgently, please call us on (03) 349-6716.

Pharmacy to Fax to

If you are having your prescription faxed to a pharmacy, please let us know which pharmacy here.

Other Comments

Is there anything else we need to know?

Terms & Conditions. Please read & acknowledge.

If your doctor has agreed to repeat prescriptions being supplied by telephone or email request, there is a 2 business day process for these to be generated. This allows a timely review of your notes / results etc & discussion between nurse & doctor; there is naturally a fee incurred in this. The full "repeats" policy regarding which medications can be issued in this way is available at the rooms. Please understand that a consultation may be required in order to provide you with the best care that we can. We prefer that you collect the prescription in person; due to costs in postage & extra time, faxed prescriptions incur a higher fee, as do those requested as a "same-day" supply.

I have read and understand the conditions.

Order a Prescription

$20: Standard Prescription (2 business days.)
$25: Standard Prescription–Faxed (2 business days.)

Urgent prescription refills cost $25 and should be made by phone within business hours.
Please call (03) 349 6716 to arrange.

Prescriptions

Order a Prescription

$20: Standard Prescription (2 business days.)$25: Standard Prescription–Faxed (2 business days.)

$20: Standard Prescription (2 business days.)
$25: Standard Prescription–Faxed (2 business days.)