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.

DGSA Logo 1.png