Prescription Re-Order Form

dd/mm/yyyy
This email address may be used to contact you regarding your prescription request or any prescription queries.
Unichem Kerikeri Pharmacy. Unichem Kerimed Pharmacy. Unichem Kerikeri Medical Centre Pharmacy. Waipapa Unichem Pharmacy.
What medications would you like your repeats for?
Delivered, or you will collect in store.
If someone is not going to be home to accept delivery, then please advise where we can leave your package that is hidden from view. WE can only leave packages by prior agreement. A signature may be required on receipt of medications.
Please also notify us if there is a dog loose on the property so that we can call you from the car and arrange for you to restrain the dog or meet our driver at the gate.
Please correct the errors above and try again.