Fertility Prescriptions

Your details

First name*

Last name*

Date of birth*

Mobile number* We'll text you when it's ready

Email*

Fertility clinic or prescriber*

Your prescription

Prescription type*

My clinic has sent it to youYour clinic has emailed or sent the prescription to us directly. I'll upload a photoUpload a clear photo or scan below. Bring the original when collecting.

When would you like to collect?*

Today Tomorrow

Anything else we should know? (optional)

Confirm

If you uploaded a photo, please bring the original prescription with you when collecting. We can't legally dispense without it unless your clinic sent it to us directly.

I understand that if I uploaded a photo, I must bring the original prescription when collecting.* I agree to the pharmacy contacting me by phone or text about this order.* I have read the privacy policy, and consent to my health information being processed to fulfil this order.*

Next, you'll confirm your contact details. There's no charge now. We'll send you a secure payment link.