Repeat Prescription Request Form
Submit and pay for prescriptions
Urgent requests can be done on this form - please select 'YES' under 'URGENT' for same day service (where possible). An additional $2 will be charged.
Only your regular medications will be issued, no new items or antibiotics.
Repeats can only be issued if you have had a checkup with your GP in the last 12 months (some patients more often).
This is a request only and subject to approval by the GP. We will text or email you if we are unable to fulfil this request.
If you provide a mobile number or email address we will retain this to send reminders and/or accounts. It will be used only by Masonic Medical Centre.
Fees: $16 for pickup or Levin pharmacies, $17 for non-Levin pharmacies. Additional $2 for urgent/same day requests.
Please select a form: