Other Prescription

$20.00

Confirm recent attendance.

Action plans can only be ordered online if the patient has attended an appointment with Dr Falk within the last 18 months.

  • Has the patient seen Dr Falk within the last 18 months? *

  • Sorry, it has been too long. *

    You need to have been reviewed by Dr Falk within 18 months to obtain an online action plan.
    Please make an appointment. at your earliest convenience.
  • Patient's Name *

  • Date of Birth (dd/mm/yyyy) *

  • Age *

  • Weight *

  • Medication Name *

  • Dose *

  • Mailing Address (Street) *

  • Mailing Address (Suburb) *

  • Postcode *

Product total

Options total

Grand total

SKU: PR002Other Category:

Description

If you need a new prescription without seeing the doctor you can order it here.

However, you will need to have consulted with Dr Falk within the last eighteen (18) months.

If you need to arrange a new appointment, follow this link, and ensure you have an up-to-date referral.