Order Your Prescriptions

Pharmacy Prescription Order Form

Need a Prescription? Simply Order Below For Collection.

Name(Required)

Address(Required)

Phone Number(Required)

Please Select Your Pharmacy(Required)

Please keep in mind the current time when selecting a slot and do not select a timeslot if the current time falls within it, e.g.:
If it is 11.45 and you select 9.30am -12pm it will not be ready in time, please select the next time slot.

Collection Date(Required)

Collection Time(Required)

Prescription Type(Required)

Prescription Details(Required)

If new, attach a photo of your prescription

Max. file size: 300 MB.

Please bring your original prescription with you

Pharmacy Services

Optical Services

Hearing Services

Skin Clinic

Nutritional Services