Pharmacy order form

You can use this webform to order you child's medication or to check on the status of an existing order.

We will contact you via SMS once the medications are ready for collection. Please make sure your mobile contact number is correct.

Please place your order for medications more than three business days before you will need to collect them.

Please place your order for medications more than three business days before you need to collect them.

If the matter is urgent, or outside of business hours, please call the Hospital Switchboard on (02) 7825 0000, and ask to speak to a Pharmacist.

Patient's first name

Patient's surname

Patient's Medical Record Number (MRN)

7 digits - can be found on the patient's appointment card, or on the medication label.

Patient's date of birth

Medications required

Please include information such as medication name, strength (e.g. how many micrograms), brand (if relevant), and any other useful information.

Preferred mobile number

Please ensure your mobile number is correct, as we will contact you via SMS once the medication is ready for collection.

Availability for collection

Please specify the days and times you are available to collect the medications from the Pharmacy.