• Use this online form to order your repeat prescription
  • This form should not be used for any other service
  • Allow 24 hours for us to review and process your prescription request, e.g order before 4pm today to collect after 4pm 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
  • Tick how many months you require before submitting
Ensure to complete all boxes on this form before clicking “Send”.



I will collect after 24 hour period has elapsed.
I consent for family member to collect.
A €15 fee applies to patients ordering private scripts.