Prescription Enquiry Form

Prescription's can now also be emailed directly from your GP to us using the Health Mail System.

Your GP can send Prescriptions directly to us by Health mail - our contact is skin1.palmerstown@healthmail.ie

If possible use this form and upload image of prescription, if not possible please email info@skin1pharmacy.ie or phone 01 6208500

Pre Ordering your prescription can save time for you and our staff at Skin1 Pharmacy.

We will respond to Prescription enquiries by email or phone with information such as medicine availability and price.

Please provide as much information as possible.

Please be patient as during busy times there may be some delay with response.

Prescriptions must be physically presented to pharmacy before dispensing.

Full Name*

Address*

Contact phone*

Do we have your prescription on file? No Yes

Which items do you require?

Prescription image

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