My Account

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From your account dashboard you can view your recent orders, manage your shipping and billing addresses, and edit your password and account details.

MY ORDERS

ORDER NO.	DATE	STATUS	TOTAL	VIEW

ORDER DETAILS - ORDER NO. ORDER DATE -

PRODUCT PRICE QUANTITY TOTAL

	SUB TOTAL
	VOUCHER
	SHIPPING

ORDER TOTAL

Including in taxes

Please choose from one of the options below.

REPEAT PRESCRIPTION

NEW PRESCRIPTION

REPEAT PRESCRIPTION - ORDER

Your Name

Choose Pharmacy

Options

All on Prescription Some as last month Other

Details

On File at the Pharmacy I have the prescription The doctor is emailing it to the pharmacy

Supply

1 month supply

Order notes(optional)

Request a CallbackPlease select if you would like the pharmacist to call you.

Upload PrescriptionNo File Choosen

SEND

GP Information

GP/ Medical Practice Name

First Name *

Last Name *

Email address

Phone

Address Information

GP Address 1

GP Address 2

GP Address 3

GP Eircode

GP County

Personal Information

First Name *

Last Name *

Display Name *This will be how your name will be displayed in the account section and in reviews

Email address *

Phone *

Current password (leave blank to leave unchanged)New password (leave blank to leave unchanged)Confirm new password

Photo Upload

Shipping Information

Delivery Address 1 *

Delivery Address 2 *

Delivery Address 3

Delivery Eircode *

Delivery Country *

Delivery County *

Is your billing information the same as your shipping?

Billing Information

Home Address 1 *

Home Address 2 *

Home Address 3

Home Eircode *

Home Country *

Home County *

Nominated Account

Nominated Contact: First name

Nominated Contact: Last Name

Nominated Contact: Email Address

Nominated Contact: Contact Number

Personal Information

Medical Information

MY MEDICAL HISTORY

BLOOD PRESURE	BLOOD GLUCOSE	WEIGHT	CHOLESTEROL	DATE