Repeat Prescription Form

Phone Whaiora for urgent prescriptions

COVID-19 UPDATE

To support Whaiora and our local pharmacies, please only order your prescriptions ONE week before you run out. This will help to manage the high demand at this time. Please note that prescription requests will be prioritised based on your health needs.

First Name *

Last Name *

DOB *

Day

Month

Year

Street Address

Town

Email *

Home Phone

Contact Phone *

Name of your pharmacy

When will your medication will run out?

Day

Month

Year

Prescription Details

A prescription fee will be charged to your account.

Repeat Prescription Form

COVID-19 UPDATE

COVID19 UPDATE: HOURS

Wairarapa After Hours Service

UNSURE IF YOU NEED A DOCTOR?

WHERE TO FIND US

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Repeat Prescription Form

COVID-19 UPDATE

COVID-19 UPDATE

COVID19 UPDATE: HOURS

Wairarapa After Hours Service

UNSURE IF YOU NEED A DOCTOR?

WHERE TO FIND US