Prescriptions

AS OF 1 APRIL 2024, WE HAVE RECENTLY CHANGED OUR BANK ACCOUNT DETAILS

Please arrange payment due to 01-0186-0555417-00

Full Name*
First Last
Email
Date of Birth*

Day
Month
Year
List of medications requested and any instructions:*
Pharmacy to send to or pick up at the clinic*
- Scripts cost $15 for an adult over age 19 years.
- Scripts cost $5 for children aged 14 - 18 years.
- Scripts are FREE for children aged 13 years or under.
- There is NO extra cost to fax a script to a pharmacy.
Please pay by internet banking to 12-3011-0450502-00 and put your full name in the reference boxes.
Alternatively, you can come in person and pay at the clinic.
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AS OF 1 APRIL 2024, WE HAVE RECENTLY CHANGED OUR BANK ACCOUNT DETAILS

Please arrange payment due to 01-0186-0555417-00

McLaren Health Prescriptions