Order Prescription

    Your Name

    Mobile Number

    Repeat Prescriptions

    Please allow 48 hours for repeat prescriptions.

    To prevent errors and patient safety, please fill in the online repeat prescription form  and pay the associated fee.

    Fields to be populated for online repeat prescription form

    • Name
    • Date of Birth
    • Contact number.
    • Chosen Chemist
    • Item Name
    • Dose

    Quantity ( 1 month, 3-month, 6 month)**

    ** Continued repeat prescriptions may require a medical consultation to assess if your current medication is suitable to your medical requirements.

    Or alternatively, email the practice reception@roscommonclinic.com with your repeat prescription, stating,

    • Name
    • Date of Birth
    • Contact number.
    • Chosen Chemist
    • Item Name
    • Dose

    Quantity ( 1 month, 3-month, 6 month)**