Request A Prescription

This service aids in online prescription renewal for regular medication when your regular GP is inaccessible. Answer safety questions, expect a doctor’s call for clarification, and, upon successful assessment, receive a secure electronic prescription via SMS. This service is for a single prescription only. If available, repeats can be added at checkout.

Are you looking for a refill or new prescription?

Refill New Prescription

How many prescriptions are you after today?

One ($19) Multiple ($39)

Please describe your health concern

Are you currently taking other medications?

Yes No

Do you have any allergies?

Yes No

First Name

Last Name

Phone

Date of Birth

Consent

Following successful payment, your request will be reviewed by the clinician who will be in contact for further information. All your answers are stored securely and kept completely confidential. Prescriptions will only be issued if deemed appropriate by our clinicians. I declare and acknowledge that the information in this request is true and accurate and used by the online clinician to prescribe safely. I understand that is an online service to maintain medication adherence only and I will be undertaking comprehensive follow-up care with my regular local GP. I declare the information provided is true and accurate and I consent to the Terms and Conditions and Privacy Policy.

I agree