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Clinic Log In
Mail
Mail
EXISTING PATIENT
Please be aware of your own personal security and do not email/add credit card or sensitive information within this form.
Select an option
New Script
Filling Repeat
Select an option
Pick up
Delivery
Choose an option
Upload Script Pdf/word
(Max 15MB)
Upload Script Pdf/word
(Max 15MB)
Upload Script Pdf/word
(Max 15MB)
Upload Script Pdf/word
(Max 15MB)
OR
Upload Script IMAGE
(Max 15MB)
Upload Script IMAGE
(Max 15MB)
Upload Script IMAGE
(Max 15MB)
Upload Script IMAGE
(Max 15MB)
If you have more than four prescriptions to upload, please submit them all together in one email to
info@yscp.com.au
.
OR
Are you ordering for a Medicine Shortage?
Yes
No
I give permisson to fulfil my order WITHOUT contacting me.
I understand I may need to be contacted in regards to this online order
If this is a new medication, we strongly encourage you to contact us, as we do provide counselling
Send
Thank you for Your Order!
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