New Prescriptions

If you’re looking for a renewal of your regular monthly prescription, you can either give us a ring to get it ready for you or you can fill out the form below with your details and let us know if you need the whole prescription or only some of the items.

Once you’ve done that, we’ll get it ready and let you know when you can pick it up.


                        
                            Order Prescription - New Prescriptions
                            
							"*" indicates required fields
                        
 
 
                        Name*
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        
Your Email*
                            
                        
Mobile No.* 
Address* 
Is Medication for delivery or collection?*
			
					
					Delivery
			
			
					
					Collection
			
Submit a photo of your Prescription (e.g. take a photo from your mobile phone and upload it)
FileMax. file size: 256 MB.
Dispense all Medicines? (Please select)*
			
					
					Yes
			
			
					
					No (Indicate in the comment box below)
			
Comment
Confirm Age* I am aware that medicines should be used in accordance with recommendations for use as contained on the packaging and I confirm that I am purchasing for that use. I agree to be contacted by a pharmacist should he or she have any questions in relation to this purchase. I confirm that I am over 18 in order to purchase this product.
Privacy Policy* I consent to having this website store my submitted information so that my enquiry can be responded to. I agree with the privacy policy
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Monday - Friday 09:00 - 18:15

056 772 4216

1 Market Street, Thomastown

Healy’s Pharmacy

Order Prescriptions

New Prescriptions

Order Prescription - New Prescriptions

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