Only controlled medications to be picked up from the pharmacy. All other medications delivered to you - fee will be paid when recivieng . Please fill the follwoing form to order your medications. Patient MRN * Patient Name * National ID * Pickup method * - Select - Through express mail (Registered only, conditions apply) Location/Address * Mobile Number * Notes Service Terms and Conditions The form should be filled out from 8 am to 3 pm; and will be received the following day. Forms submitted after 3 pm will be received after 2 working days. Prescription refill requests made during the weekend (Friday & Saturday) will be processed on Sunday morning. Leave this field blank
