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ORDER PRESCRIPTION/MEDICATION
PLEASE COMPLETE ALL INFORMATION IN THE FORM BELOW AND PRESS THE "SUBMIT FORM" BUTTON.
YOU WILL RECEIVE A TEXT MESSAGE WHEN YOUR PRESCRIPTION/MEDICATION IS READY FOR COLLECTION. THIS IS USUALLY WITHIN 24-48 HOURS DEPENDING ON AVAILABILITY
IF YOU DO NOT HAVE ALL REQUIRED INFORMATION
PLEASE CALL YOUR PREFERRED BRANCH FOR ASSISTANCE.
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