Repeat prescriptions

Repeat prescriptions for regular medications may be given at the doctors discretion where the patient’s condition is stable and if the patient has seen the doctor within a reasonable time. Repeat prescriptions can be ordered online (see above) or by phone – (04) 528 3048

Please complete and submit the form below. You will be directed through to Payment Express to pay for your prescription and will need your credit card or debit card on hand.

Please note all transactions are in New Zealand Dollars. No credit card information is stored on Queen Street Medical servers or on this website. All payments through this website are transacted through our payment gateway partner Stripe (http://www.stripe.com/nz)

Doctor(Required)

Chart No.

First Name(Required)

Last Name(Required)

Date of Birth(Required)

dd-mm-yyyy

Address(Required)

Email Address(Required)

Contact Number(Required)

Medication(Required)

Please enter the name of the medication, strength, and quantity. Put each medication on a new line. Please ensure you have your current medications in front of you for accuracy.

Fax to Pharmacy

If you wish your prescription to be faxed to a pharmacy, please enter the name of the pharmacy and their fax number. Leave these fields blank if you do not wish to use this service.

Pharmacy(Required)

Fax Number

Charges(Required)

Total

Notices

OPENING HOURS