• This form is not to be used to request new or altered scripts.


• There will be a $10 charge for scripts issued.


• The script should be available for collection by the end of the next business day.

Please note this is not a secure messaging system.
Once the email has been received at the Practice it will be treated with the same confidentiality as all other correspondence, however, we cannot offer any guarantee about the secruity of the transmission. If you are in any doubt as to the confidential nature of your communication please use alternative means to request your prescription.