If you are already a patient of ours you can order your prescription easily using the form below. Please take care to fill out all the necessary boxes. Several medications can be ordered at one time. Do not forget to specify the amount to be prescribed for each medication. Your prescription will be available the next day for pick-up.

This service is available only for patients already registered with our practice. If you are not already a patient here, please arrange an appointment to see a doctor beforehand, see above.

Please note that this facility will only work using standard browsers, i.e. Internet Explorer Version 6 and upwards and Firefox Version 2 and upwards.

Mandatory fields are marked with an asterisk *
Last name:*		First name:*
Date of birth:*
Tel. No.:*		Fax no.:
E-mail:*
Size of pack:*	Please select... N1 - one month supply N2 - three month supply N3 - six month supply
Your medication:

We can only supply you with prescriptions for medications generally prescribed by gynaecologists, e.g. contraceptives, hormone replacements, fertility drugs. Acute medications such as pain killers, corticoids and antibiotics can only be prescribed after consulting your doctor. Non-gynaecological medications must be prescribed by your family doctor or by an appropriate specialist. Regular gynaecological examinations are necessary for monitoring treatment, so please take note that no prescriptions will be made out if your last gynaecological examination was more than a year ago.

Your personal information given here will be treated confidentially, will not be stored and will not be passed on to third parties.