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Woodlawn Medical Centre
1 Woodlawn Terrace,
Upper Churchtown,
Dublin,
D14 W3V5
Order your repeat prescription from Woodlawn Medical Centre.
Type of request
Please select
Private Patient
Medical Card / GP Visit Card
Please complete this form to make a €30.00 payment to Woodlawn Medical Centre. 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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