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Step 1 of 3 - About you
Sorry, this form is only for our current patients to request a repeat prescription
Please note a payment of €30 will be required to complete this form. Please have your credit or debit card ready
Please have your medical card or GP visit card number ready as it will be required to complete this form.
To provide you with a 3-month prescription, we require your today's blood pressure and heart rate readings below. If you are unable to provide them we will issue a 1-month prescription.