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Clinic
Telehealth Consultations
Sleep Studies
Dr David Cunnington
FAQs
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Registration form
Prescription requests
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In-clinic appointment
FAQs
Questionnaires & forms
Learn about sleep
Contact
Ph: 03 8609 0308
Prescription requests
1
Accept Conditions
2
Personal Details
3
Medication Details
4
Delivery Details
5
Payment
Use this form to request repeat prescriptions for medications that have been prescribed by Dr Cunnington within the last 6 months.
In many cases, your GP will be able to provide prescriptions for you. Your GP receives a letter after each appointment outlining what medications, including dosages, you have been prescribed.
There is a nominal cost of $30 for repeat prescriptions to cover the time taken and administrative costs of writing and issuing prescriptions outside of consultations.
Scripts can be issued as e-scripts (SMS or email), printed e-script token (emailed) or printed paper scripts sent via mail.
NOTE:
There are strict laws around the prescription of schedule 8 medications (dexamfetamine, methyphenidate, opiates) and drugs of dependence (benzodiazepines). This can create inconvenience with lack of flexibility in providing prescriptions or having these medications dispensed. Please understand this is a consequence of laws and regulations that need to be complied with.
Before you enter details, please read and agree to the Terms and Conditions
This service is only available for existing patients who have been seen in the last 6 months. If you haven’t been seen in the last 6 months, you will need to make an appointment to be reviewed clinically to ensure the medication is still appropriate for you.
We can only provide repeat prescriptions for medications started and prescribed by Dr Cunnington. To obtain a repeat prescription, you must have obtained this prescription from us within the last 6 months.
You may select more than one medication, up to three, with each request.
Each prescription request is assessed by Dr Cunnington who will approve or decline the request on clinical grounds. If the request is declined, you will be advised why and your payment refunded.
In some cases, particularly with high-risk medications such as schedule 8 medications and drugs of dependence, e-scripts or paper scripts can only be sent to and held by the pharmacy.
The fee ($30) is payable when the request is submitted. If your request is declined, you will receive a full refund within several business days. Payments are managed securely via Stripe.
Scripts will be issued within five (5) working days from submission of the request. Many of the medications prescribed require permits and checking of online databases that track prescriptions and usage so aren’t able to be issued urgently or at short notice.
Mail delivery may take up to ten (10) business days to arrive from the date posted.
Electronic versions of printed prescriptions sent to patients via email are not legal prescriptions, hence we cannot email copies of printed paper prescriptions directly to you.
As of April 1st 2022, legislation in Victoria does not allow electronic copies of prescriptions to be emailed or faxed to pharmacies.
These details are needed to match you to your clinical records. We will use your email address to communicate with you about your request.
First Name
*
Last Name
*
Email
*
Date of Birth
*
Day
Month
Year
(1) Name of Medication
(1) Tablet / Capsule Strength
Add a second Medication...
(2) Name of Medication
(2) Tablet / Capsule Strength
Add a third Medication
(3) Name of Medication
(3) Tablet / Capsule Strength
How would you like to receive your script?
*
e-script via SMS
e-script via email
e-script sent to pharmacy
printed paper script sent via mail
Address for paper scripts or pharmacy details for e-scripts sent to pharmacy
Name / Pharmacy name
Address
Town / Suburb
State
Postcode
Script
Price:
Transactions are securely handled by Stripe. You will receive an email with a receipt on payment.
Credit Card
Card Details
Cardholder Name