ORDER YOUR PRESCRIPTION ORDER YOUR PRESCRIPTION Do you want to upload a prescription on behalf of a patient? Use the Prescriber Upload form. THIS FORM IS BEING SUBMITTED BY A PRACTITIONER THIS FORM IS BEING SUBMITTED BY A PRACTITIONER Doctor/Clinic Name(Required) Doctor/Clinic Email(Required) Prescription Type:(Required)New PrescriptionRepeat Prescription From My Skin PharmacyRepeat Prescription From External PharmacyPrevious order number(Required) Delivery OptionI want my prescription postedI will pickup my prescription from My Skin PharmacyYour Name(Required) Patient's First Name Patient's Last Name Your Phone(Required)Your Email Address(Required) Address Address Suburb State Postcode Upload Prescription File Drop files here or Select files Max. file size: 512 MB. Message: Mail Us Your Script To comply with Pharmacy Regulations, please supply the original copy of the script via post within 7 business days to My Skin Pharmacy - 185 Moggill Road, Taringa QLD 4068. If your script is an eScript we do not require the original copy to be posted. We will contact you as soon as we receive your script. Payment & Delivery Our staff will contact you by telephone to finalise payment. We use Australia Post Express. Please see the shipping price schedule for more information. Payment & Delivery Information Our staff will contact you by telephone to confirm your order, payment and shipping options. Shipping: Please see the shipping price schedule for more information. CAPTCHAPrivacy(Required) I agree with the storage and handling of my data by this website. - Privacy Policy *