Please use this form to request a repeat prescription of medications recently prescribed by your dermatologist. Please note, most medications require regular review. Your dermatologist may suggest an appointment prior to prescription if needed.
Your name (first and surname)
*
Dermatologist
*
Dr Todd Gunson
Dr Fergus Oliver
Dr Denesh Patel
Dr Chin-Yun Lin
Dr Bob Chan
Dr Marc Lawrence
Dr Jenny Chung
Dr Shaochen Liu
Email address
*
I accept that a fee of $40 to 50 will usually apply
*
Yes
No
Delivery method
*
Send directly to a pharmacy
Pick up from Remuera Road
Pharmacy name and street address
Prescription items requested and quantities of each
*
Submit
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