Script Enquiry

This form is for enquiries about your current medication or a recent prescription only.

You may be eligible for a repeat script without an appointment if your medication was prescribed within the last 6 months, including if you've lost or damaged your script. A $35 administration fee applies. Request a repeat script via our portal here.

You'll need to book an appointment with your GP for:

New scripts
Dosage changes
Medications prescribed more than 6 months ago
Drugs of addiction, anti-depressants, ADHD medication, antibiotics or weight loss medication

Please allow 3-5 business days for a response to your enquiry.

PATIENT DETAILS

Date of Submission

First Name *

Last Name *

Date of Birth *

Contact Phone Number *

Email Verification *

Send code

ENQUIRY DETAILS

What does your enquiry relate to? *

⚠️ Dosage change requests submitted through this form will not be actioned.

Changes to your medication need to be discussed with your doctor. Book via the AMS Connect app, or book online below.

Book an appointment →

⚠️ Repeat script requests submitted through this form will not be actioned.

Please submit your request via our online repeat script portal instead.

Go to the repeat script portal →

⚠️ Requests submitted through this form to reprint a lost script will not be actioned.

Please submit your request via our online repeat script portal instead.

Go to the repeat script portal →

Please provide us with some more information about your enquiry

What is the name of your current medication *

On which date did you receive your script from your GP *

Signature *

Clear

Date *