Call us on 06-7594295 or email email@example.com
Business Hours: 8.30am to 8.00pm with a 24 hour on call service.
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Pick up from ClinicFax to Pharmacy
If pharmacy please state which Pharmacy.
1) Have you been seen in the last 6 months by a Doctor at Phoenix for this condition? If no, you need to see a doctor.
2) Has this medication been previously prescribed by a Doctor at Phoenix? If not, you need to see a Doctor here.
Please enter the following details for each medicine required:
Medicine requested, Strength, Frequency or how many per day, Number required or Number of Months supply.
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