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Repeat Script
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Covid19
OnlineDoc Treatment
Repeat Prescription
Only
€
23 per Script
Repeat your current medicines (Refill Script) for conditions such as
Blood pressure, Diabetes, High Cholesterol, Asthma, Thyroid, Migraine and Hay fever
First Name
Last Name
Datr Of Birth
Email
Phone Number
Address
Please specify your gender:
*
Male
Female
I read & accept the "Drug Policy"
Please read our
"drug policy reference"
before continuing
Please provide the names of the medicines, their dosage, and times to take them per day.
Please upload a photo of your current medicines. (Optional)
Upload File
Upload supported file (Max 15MB)
Please upload your previous prescription if available. (Optional)
Upload File
Upload supported file (Max 15MB)
Is your condition well-controlled by your current medicines?
*
Yes
No
If No, Please specify:
Do you plan to become pregnant, breastfeed, or are you pregnant? (For Females)
*
No
Yes
If Yes, Please specify:
Do you have a significant past medical or surgical history?
*
No
Yes
If Yes, Please specify:
Are you allergic to any medication or any other substance?
*
No
Yes
If Yes, Please specify:
Please provide the name and address of the pharmacy where you'd like to pick up your medications.
I confirm that the answers I have provided for the above questions are true and accurate to the best of my knowledge.
*
I Confirm
I Do Not Confirm
I confirm and agree that any treatment prescribed for me is for my personal use only.
*
I Confirm
I Do Not Confirm
I fully understand the side-effects of the treatment options, their effectiveness and alternative options and am happy to continue with my request.
*
I Confirm
I Do Not Confirm
Proceed to Checkout
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