Script Request

If your child has been seen at Paediatric People in the last 6 months, a repeat prescription may be able to be supplied if medically appropriate. Please note, processing of repeat scripts may take up to 7 business days. Please complete this form to request a script repeat.

Repeat prescription requests incur a fee of $55

Name(Required)

Email(Required)

Mobile Phone(Required)

Child's Name(Required)

Child's Date of birth(Required)

Medication name(Required)

Medication dose(Required)

How much medication do you have left?(Required)

Are you happy to receive this as an e-script?

Yes

I understand there will be a charge for this prescription.

Yes

Message

Phone

This field is for validation purposes and should be left unchanged.