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Prescription Request

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Prescription Request

Your Prescription Details

* Email

* First Name

* Last Name

Mobile Number

Address

Is Medication For Delivery or Collection?

GMS Number

Is this a New or Repeat prescription

Dispense all medicines?

Pharmacy Location Choice

NEW PRESCRIPTIONS ONLY: Submit a photo of your Prescription (e.g. take a photo from your mobile phone and upload it)

IF DELIVERY IS REQUIRED: Please include delivery address and we will contact you to confirm details.

Yes, please sign me up for your newsletter and email offers

Yes, please sign me up for your SMS offers

Delivery Area

We deliver to any home or workplace address in the Republic of Ireland
Regulations prohibit us from shipping medicines outside of the Republic of Ireland

Returns

Medication cannot be returned unless faulty
Any medication returned to us will be destroyed in accordance with regulations

Packaging

All of our prescription orders are sent in discreet packaging
We use double walled cardboard boxes to protect your medication

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