Repeat prescriptions

Here you can repeat medication that you use and is known with us.

You can repeat three prescriptions per form. When you need more, please fill out the form again.

You will receive a confirmation by e-mail when your prescription has been sent. The medication will be available at your pharmacy the next working day.

* = required field

"*" indicates required fields

Medicament*

For instance: Paracetamol 500mg

Dosage*

For instance: 1 tablet 3 times a day

Amount*

For instance: Max. 3 months

Medicament

Dosage

Amount

Medicament

Dosage

Amount

Surname*

Pharmacy*

Date of birth*

Phone*

E-mailadress*

Remarks