Prescription Request Form

* Required

Do you have a medical card, or DVC *
Repeat previous prescription? *

Please allow 10 working days for the prescription to be processed.

Private prescriptions are subject to a fee of €20.

GMS patients and patients with Doctor Visit Cards will not be charged for prescriptions

Thank you for your prescription request. Please allow 10 working days to process. The prescription will be sent electronically to your pharmacy.
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