Prescription Review Request
Only existing clients can request prescriptions. To make your request, fill out the form below. Repeat prescriptions for medications deemed addictive such as opiates and benzodiazepines are not provided through this service. Due to changes in Prescribing Guidelines, we now need to book an appointment to issue you a repeat prescription.
Name
*
First Name
Last Name
Birth Date
*
-
Day
-
Month
Year
Birth Date
Mobile Number
*
Please select your Doctor
*
Please Select
Dr Ramprasad Attur
Dr James Baee
Dr Junita Basnett
Dr Chey Bhutia
Dr Bernard Chivaurah
Dr Mark Cross
Dr Louis Ereve
Dr Ryan Lee
Dr Katrina Marshall
Dr Zelko Mustac
Dr Sadia Saeed
Dr Kavita Seth
Dr Chaandini Subramaniam
Dr Julian Short
Dr Christopher Sulaksono
Dr Mimi Xu
*
Is your request regarding the Shortage of Vyvanse?
*
Please Select
YES
NO
This determines the type of appointment required.
Do you need to change your current medication?
*
Please Select
YES
NO
This determines the type of appointment required.
Are you currently experiencing any reactions to your medication?
*
Please Select
YES
NO
This determines the type of appointment required.
Has it been more than 12 months since you saw your specialist?
*
Please Select
YES
NO
This determines the type of appointment required.
Submit
Should be Empty: