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Services
General / medical dermatology
Mohs micrographic surgery
Cosmetic dermatology
Skin checks and mole checks
Dermatologic and laser skin surgery
Our specialists
Dr Todd Gunson
Dr Paul Le Grice
Dr Fergus Oliver
Dr Denesh Patel
Dr Chin-Yun Lin
Dr Bob Chan
Facilities
Peripheral clinics
Contact us
Appointment request
Prescription repeat request
New patient form
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Please use this form to request a repeat prescription of medications previously prescribed by your dermatologist. A prescription fee will routinely apply.
Your name (first and surname)
*
Dermatologist
*
Dr Todd Gunson
Dr Paul Le Grice
Dr Fergus Oliver
Dr Denesh Patel
Dr Chin-Yun Lin
Dr Bob Chan
Email address
*
Delivery method
*
Send directly to a pharmacy
Post to you
Pick up from Remuera Road
Please complete either your postal address or pharmacy details below
Your postal address
Pharmacy name and street address
Prescription items requested and quantities of each
*
Submit
Home
Services
General / medical dermatology
Mohs micrographic surgery
Cosmetic dermatology
Skin checks and mole checks
Dermatologic and laser skin surgery
Our specialists
Dr Todd Gunson
Dr Paul Le Grice
Dr Fergus Oliver
Dr Denesh Patel
Dr Chin-Yun Lin
Dr Bob Chan
Facilities
Peripheral clinics
Contact us
Appointment request
Prescription repeat request
New patient form
Search