Prescription Repeats

Please complete the form below if you would like to pre-order your prescription repeats.

* Required Field

* Name:

* Email Address:

* Phone:

* Address:

* Medicine Name:

Script Number:

Medicine Name:

Script Number:

Medicine Name:

Script Number:

Medicine Name:

Script Number:

Having problems?

If you are having trouble completing this form please feel free to contact us directly.

Phone:

(03) 443 5290

Fax:

(03) 443 0721

Email:

Address:

Wanacare Pharmacy
Wanaka Lakes Health Centre
23 Cardrona Valley Road
Wanaka.

Free delivery of your prescription repeats.