Request prescriptions

Two simple and secure ways to submit your request.

We offer two easy and secure options for prescription requests. Please choose the option that works best for you.

Online Form

Alternatively, you can send your request directly to our practice using our internal online form.
  • Full name
  • Date of birth
  • Medication name and dosage
Go to the online prescription form

Important notes

  • Prescription requests are only possible for long-term medication.
  • Please allow some time for processing.
  • For urgent medical issues, please contact our practice by phone.