You can request a prescription using the form below.

  • Please ensure you have had a blood test within the last two months
  • Please write the medication you require and pharmacy you would like the script to be sent toPlease note certain medications, namely controlled scripts require a paper copy and cannot be sent electronically. They must be posted. Please allow 5-10 days for the mailing process
  • Please allow up to 72 hour for processing
  • Repeat prescription requests incur a charge of $30 and an invoice will be sent to you for payment. Some insurance policies may let you claim this back

    Please enter the medication you require

    Please enter the pharmacy you would like the script sent to