Prescription Order Form

To order your prescription please fill out the short form below.

Name*
Email*
Postal Address*
Date of Birth*

Day

Month

Year
Medication and Strength*
Your designated Pharmacy*
I have read and agree with the Deenagh Medical Practice Privacy Policy and consent to my submitted data being collected and stored*
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Prescription Order Form
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Frequently Asked Questions

Deenagh Torc Medical Practice The Reeks Gateway, Killarney, Co Kerry

Tel: 064 663 2205
Fax: 064 663 7526
Email: deenaghmedical@outlook.com
Sat Nav: 52.068420, -9.517284

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