NEW PRESCRIPTION MEDICINES ONLINE ORDERING SERVICE We offer a free prescription ordering service for new prescriptions. You may have recently received a new prescription from your doctor or consultant for many reasons including: starting to take regular medication for the first time a change in your regular medication dosage or medicine type a one-off prescription for a specific illness a recent a trip to the hospital due to accident or illness. Please upload your prescription and fill out the order form below and our pharmacist will prepare your prescription medicine in Rathnew Pharmacy. We will contact you to let you know your medicines are ready for collection. Please allow 24 hours for your prescription to be ready (please allow extra time for orders placed on a Saturday or Sunday). You will need to bring your original prescription in with you to Rathnew Pharmacy before your medicines will be dispensed First Name Surname Home Tel No. Mobile Tel No. Home Address Email Address Collect/Deliver Collect In-Store Home Delivery Please scan your prescription, and save it in either JPG, PNG or PDF formats. Upload Prescription (Select scanned prescription in either PDF / JPG / PNG formats)Which items on your prescription would you like to order? to order ALL of the items listed on your prescription, simply type ALL in the box below to order certain items listed on your prescription please list each item in the box below ALL(Comments / Additional information) I confirm that I would like to order my repeat prescription from Rathnew Pharmacy and I understand that a valid prescription must be held on file with Rathnew Pharmacy before my prescription will be dispensed I would not like to be contacted by Rathnew Pharmacy in the future in relation to pharmacy services or promotionsPlease note that in order to comply with current Irish pharmacy legislation a valid original prescription must be on file in Rathnew Pharmacy before any medicines can be dispensed by our pharmacist. We can arrange to collect your original prescription from your home or from your doctor, or you may bring your prescription in to Rathnew Pharmacy.