Use this form to order your Repeat Prescriptions on-line.
Please complete all fields and then click the Submit button
to send the form to us.
Please note: you will be sent a confirmation email with a
unique reference code for your use. Please allow 1 hour for
the confirmation email to arrive. If no email has been
received after 1 hour you should assume that an error has
taken place and either call in on the phone or resubmit the