Info and registration 655 6244 Open Mon 8.00–16.00 Tues.–Thurs. 8.00–18.00 Fri 8.00–16.00
Please fill in the blanks to submit a request for a prescription refill.
Your data is confidential, but required to comply a prescription refill.
Patient's First Name*
Patient's Last Name*
Patient's Personal Identification Code*
Patient's Email Address*
Name of the Prescription (or Active Substance) and Strength*
1I confirm, that I have no applicable prescriptions for these medications. 1I am aware and responsible for any possible chronic disease I my have, I have done all of the tests required by a family physician/physician nurse on time.
We will prescribe you a refill in 3 weekdays.