Prescription Request

This form allows you to order an online repeat prescription. Repeat prescription orders are also possible (and easier) from your patient portal. Please allow up to 48 hours for a repeat prescription request to be processed and payment is due at the time you place your order.

Sometimes it is in your best interests for the doctor to be able to re-assess your condition in case medication changes are required. If it has been a considerable time since we have prescribed the medication this may apply. If an appointment with the doctor or nurse is necessary you will be informed.

Repeat prescriptions without a consultation are not funded. There is a charge of $30 whether you are a Community Services Card holder or not. Payment is required immediately and can be made by internet banking to 02-1268-0144595-000 or in your MyIndici portal.

We will email or text you when the prescription is on its way to the pharmacy.

If you require a same day urgent prescription ($40) please call the surgery on 03 3588266.

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Name *

First

Last

All of first name, last name, email address and date of birth are required

Email *

Date of Birth

Pharmacy

Pharmacy for script to be sent to. Must include suburb if a chain, eg ‘Unichem Bishopdale’ not ‘Unichem’

Date Required Email

Medications Required

Please give full details. eg Atorvastatin 20mg tablets once daily or Levothyroxine, 50mcg, two tablets six days per week

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