Order prescriptions online!

As our patient you have the option to order prescriptions online.

However, this is only possible for your continuous medication.

Simply fill out and submit.
Your prescription will be ready for pick up at the office the following day.
It may be necessary to consult with your doctor.

Please note our privacy policy before submitting.

    Prescription order

    Your last name (mandatory item)

    Your first name (mandatory item)

    Your date of birth (mandatory item)

    Name of your first medicine:

    Name of your second medicine:

    Name of your third medicine:

    Name of your fourth medicine:

    Your message:

    I have read and accept the Privacy Policy.