Prescription Order

Please fill out and submit the below order form and a member of our team will be in touch. Thank you.

Please ensure this is the name registered to the account.
Client Address(Required)
E.g. 1 month
Written Prescription or Physical Medication?(Required)
Collection from Practice or Posted?(Required)

Posted medication will incur a charge and the client will be contacted to pay this prior to it being posted.

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