You can now order your repeat prescriptions online via the form below. Please fill out the form carefully. 

Prescriptions are now sent directly to your preferred pharmacy by your GP. Please allow at least 48 hours for your prescription to reach your pharmacy.

This form is specifically for Private Patients who wish to pay online. There is a €20 fee for all repeat private prescriptions.


Patient's Name(Required)
Date of Birth(Required)
Address(Required)
Items Required(Required)
Description (e.g. Paracetamol)
Dose (e.g. 500mg)
Quantity (e.g. 5)
 
Click the "+" symbol to add additional items.

Payment

This field is for validation purposes and should be left unchanged.