1
Upload
2
Details
3
Confirm
Upload Prescription Photo
Take a clear photo of your prescription or drag and drop an image file.
Drag & drop your prescription here
or click to browse files
Supports: JPG, PNG, PDF (max 10MB)
or use your camera
Patient Details
Please provide your details so we can prepare your prescription.
If you have an electronic prescription, enter the token here
Review & Submit
Please review your details before submitting.
Prescription
Patient Details
Name:
Email:
Phone:
Medicare:
DOB:
Type:
Collection:
Prescription Received!
Thank you, . We've received your prescription.
A confirmation email has been sent to
We'll notify you when your medication is ready for collection.
Reference:
Type:
Collection: