Online Prescriptions

We are pleased to advise we have a new text messaging service in place. We can now text you when your prescription is ready for collection at the pharmacy, if you provide us with your mobile telephone number. Please advise under the "additional comments" section, if you wish to opt out of this service.

Thank you

Prescription Form

Name: *
Address: *
Email: *
Contact Telephone No: *
DOB: *
Repeat Prescription:
# Drug Name Strength
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2.
3.
4.
5.
6.
7.
8.
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10.
  I give permission for AJHales pharmacy to order and collect my prescription on my behalf
Enter Antibot code: