Prescriptions For repeat prescriptions, please complete the following. I need more information about online prescriptions This needs to be a medication you require regularly, unless you have been advised otherwise that it is appropriate to request an online prescription. You must have been seen by the doctor within the past 12 months. You may be required to attend a consult for medication review prior to the prescription being issued. Please note this is a requirement of the NZ Medical Council and all patients receiving scripts are reviewed on a regular basis. Prescriptions require 48 hours to process, same day requests will incur an additional charge The information provided through our on line prescription ordering service is securely received into an email with restricted access to the nursing team at Hoon Hay Medical Centre. You must be an enrolled patient at Hoon Hay Medical Centre to use this service.Is this request required sooner than 48 hours?*YesNoFor same day prescriptions, please phone the medical centre on 338 8179 before 12 midday to be processed and picked up the same day. This will incur an additional charge.Note: Will be available to pick up 48 hours after the request is made (Monday- Friday).If the doctor requests that you be seen before they can prescribe you the medication, will you have enough time to make an appointment before your medication runs out?*YesNoIt is likely you can be prescribed a short supply. Please contact our nursing team on 3388179. Note this still incurs a prescription charge.Your detailsFull Name*Phone*Address*Date* Prescriptions required Please look at your prescription packets or bottles and carefully copy into the box below the following information: Name and dose of the medication and how often you take it eg. Simvastatin 40mg once daily. Failure to provide us with the full name, dosage and frequency of your medication may delay the administration of your prescription request. Please do not annotate with "All" or "Regular Meds" as we require your request to specifically list the medications you wish to have repeated.Name, Dose and Frequency*Would you like us to fax your prescription to a pharmacy?*Yes ($25)No, I will pick up ($20)Which pharmacy would you like us to send your prescription to? Please provide address and fax number if this is outside Christchurch.*What is the best way for us to contact you?*PhoneTXTIf your prescription cannot be authorised we will always contact you to advise. If we hold your current cell phone number on our system, we will text you to advise that your prescription is ready. Your prescription will be ready from 5pm of the next business day (Mon-Fri).CommentsThis field is for validation purposes and should be left unchanged.