Prescriptions

PRESCRIPTION PROCESSING

FROM 20TH FEBRUARY 2023 PLEASE ALLOW SEVEN WORKING DAYS FROM INITIALLY ORDERING YOUR PRESCRIPTION TO COLLECTING YOUR MEDICATION AT THE PHARMACY

Please complete the following form to order your medication online.

"*" indicates required fields

Title*

Forename*

Middle Name Optional

Surname*

Date of Birth*

Address*

Street Address Address Line 2 State / Province / Region Post Code Country

Phone*

Email*

Enter each medication and strength on your prescription*

Medication

Strength

Dose

Please click the ”

” icon above if you would like to add more medications to the list

Pick Up Point*

PLEASE NOTE WE DO NOT HAVE A REGULAR COLLECTION FROM DUNDONALD PHARMACY OR MONKTON PHARMACY SO YOU WOULD NEED TO INFORM THEM TO COLLECT AT LEAST 3 WORKING DAYS AFTER ORDERING.

Please select which Surgery you are registered with*

Remember me?

Yes Optional

Remember my details – We’ll save a copy of your details on your computer and pre-fill them automatically when you next visit this page. Do not select this option if you are using a shared device