This service is to order an updated prescription for your child.

You will be prompted to enter the medication name and your child’s details when you check out. Scripts will ONLY be provided if your child is an existing patient of Norwest Kids Specialists clinic and they have a future appointment booked for a review with their treating specialist.

Your order will be processed as soon as possible atleast 2-3 weeks before you run out of medicine. Please note that the specialists at Norwest Kids Specialists clinic work on particular days of the week and therefore there may be a delay in processing your order. We apologise for any inconvenience.

Prescription Request Form

Child's Name

First

Last

Date of Birth*

Name of Medication for your Child*

Current Dose*

Child's Current Weight*

Please type the characters*

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