• Use this online form to order your repeat prescription
  • This form should not be used for any other service
  • Allow 48 hours for us to review and process your prescription request, e.g order before 4pm today to collect after 4pm the day after tomorrow
  • Keep in mind when placing your order that our admin hours are from 9am to 5pm Monday to Friday
  • State the name of each drug on your repeat list and add the strength and dosage for each one
Ensure to complete all boxes on this form before clicking “Send”.

    Your reorder will be defaulted to 6 months, however actual months given will be at the clinician's discretion.


    I will collect after 48 hour period has elapsed.
    I consent for family member to collect.
    A €15 fee applies to patients ordering private scripts.