Submit Your Script

Name

Surname

Contact Number

Delivery Address

Alternative Address

Delivery Options

Upload Your Script (Supported File Types : PDF,JPG)

Payment Method

Cash Card Payment Account Holder Medical Aid Payment (Please Specify Medical Aid details under Special Instructions)

Special Instructions

For schedule 5 & 6 Scripts we will require the original script

should this be the case our dispensary team will get in touch with you telephonically

Deliveries

Local Delivery service on request

national & international deliveries available

by pre-arrangement

Leave us a note and we will get back to you