Online Requests

Repeat Prescription Requests

For existing patients requiring an ongoing regular medication, we offer a repeat prescription request service for selected stable conditions. All requests are reviewed by your doctor and may still require an appointment.

I am an existing patient of Rochedale Family Practice This is a regular medication previously prescribed for me My condition is stable I am not requesting opioids, benzodiazepines, or other high-risk / controlled medicines I understand my doctor may require an appointment

Full name Please enter your full name. Date of birth Please enter your date of birth. Mobile number Please enter your mobile number. Email address Please enter a valid email address. Payment email This helps the practice match any future payment or follow-up communication if needed. Please enter the email you will use for payment. Medicare number (optional) Preferred pharmacy This field is required. Medication name This field is required. Dose / strength This field is required. Usual reason for medication This field is required. When was this last prescribed? This field is required. Any changes in your condition? This field is required. Details of any changes (optional) Additional notes (optional)

After submitting, you will be taken to a payment page. Requests should only be processed after submission and payment have both been received.

Repeat Prescription Requests

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Patient and request information