Repeat Prescriptions

If you have seen Mr Studd in the last 12 months and require a repeat prescription of a medication he prescribed please fill in the below form.

This service is only available for repeats of regular urological medications previously issued by Mr Studd.

Please allow 2 full working days for the prescription to be available.

Repeat prescription costs $22.

Name

First Name

Last Name

Email Address

Date of Birth

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Medication

Medication name and dosage

Pharmacy

Pharmacy Name or 'send to home'