Please complete the form to request a repeat of an existing script from your Paediatric Specialist.
This form is intended for use only by existing patients already under the care of our Paediatricians & Paediatric Sub-Specialists.
We will require the following information from you to assist in sending you the correct repeat script including:
MEDICATION & PRESCRIPTION DETAILS
Name of Medication and Dosage Required
You must have seen your doctor within the past 6 months to receive a new prescription