Repeat Prescription - Tiny Giants

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Prescription Request

A prescription is charged $35
(GST included)

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Name of Specialist *

Medication Required *

Pharmacy *

Comments

Email *

of Birth Name

Patient Name *

First

Last

Phone *

Date of Birth *

NHI

Price *

$35.00

Stripe Credit Card *

Phone: 09 242 3777
Email: admin@tinygiants.co.nz

Unit 2, 188 St Heliers Bay Rd,
St Heliers, Auckland 1071

Plenty of free parking is available for patients at the clinic.

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