Request a prescription If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Patient's Name * Date of Birth * Contact Telephone * Address * Email Address * Your Usual Doctor * --Select a Doctor-- Dr Shelley Louw Dr Joseph Pearson Dr Joanna Thwaites Dr Karin Lamb Dr Liz Schroder Dr Rachelle Pound Dr Chris Todd Dr Catherine Thomas You must call reception for an urgent same day prescription - the fee is $38 Service --Select a Service-- Available at the pharmacy you choose below after 2 working days Medication & Strength * Medication & Strength Medication & Strength Medication & Strength Medication & Strength All scripts will be sent to the pharmacy you choose below Pharmacy Name and Address *