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Which items on your repeat prescription would you like to order?

• to order ALL of the items listed on your prescription, simply type ALL in the box below

• to order certain items listed on your prescription please list each item in the box below

Prescription Items  

Comments  

I confirm that I would like to order my repeat prescription from Rosslare Pharmacy and I understand that a valid prescription must be held on file with Rosslare Pharmacy before my prescription will be dispensed

If you have a copy of your script please upload here by the browse button