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Drogheda Medical Clinic
Dublin Road,
Drogheda,
Co. Louth,
A92A4OY
Order your repeat prescription from Drogheda Medical Clinic.
Type of request
Please select
Private Patient
Medical Card / GP Visit Card
Please complete this form to make a €20.00 payment to Drogheda Medical Clinic. Payment is required to submit your request.
Your first name
Your last name
Date of birth (dd/mm/yyyy)
Your email address
Your phone number
Your address
Name of pharmacy
Town/area of pharmacy
I consent to my data being temporarily retained to process my request.
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I consent to my GP sending my prescription to my chosen pharmacy using electronic prescriptions.
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