Repeat Prescription Ordering |
Please supply details: |
This ordering system is temporarily out of order. Please email your order to DLPharmacyOutpatients@austin.org.au |
Your UR number (if known) |
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Your full name |
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Your full address |
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Your date of birth (dd/mm/yyyy) |
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Contact phone number |
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Email address |
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Medication name(s), each separated by a comma |
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Number of repeats required |
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Specify location where your prescription is being kept |
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Delivery options |
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Pick-up date (we need at least 3 days to process your order) |
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Mailing address |
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OK |