St. Agnes Surgery

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  • Home
    • General Information
    • Meet the Team
    • Our Story
    • ______________________________
    • Accreditation
    • Child Safe Policy
    • Code of Ethics
    • Fees
    • Privacy Policy
    • New Patients and Workcover Patients
    • Acknowledgement of Country
  • News
    • Career Opportunities
    • Latest News
    • "Your Doctor"
    • Coronavirus
  • Services
    • Duty Doctor
    • GP Roster
    • General Practice
    • Covid 19 Booking Information
    • Ear Microsuction
    • Mental Health
    • Men's Health >
      • Prostate Health
    • Women's Health >
      • Breast Health
      • Menopause & HRT
      • Contraception - Implanted Contraception
      • Cervical Screening
      • Planning for Pregnancy
    • Preventative Care
    • Programs & Clinics >
      • Asthma Program
      • CardioVascular Program
      • "Closing The Gap"
      • Coordinated Veterans Care (CVC)
      • Diabetes Clinic
      • Duty Doctor
      • Iron Infusion
      • Immunisation
      • Molescan
      • Cervical Screening Clinic
      • Seniors Health Assess.
    • Screening Tests
    • Seniors Health
    • Specialist Centre
    • Useful Links
  • FAQ Sheets
    • Advanced Directives
    • Asthma
    • Atrial Fibrillation
    • BP Vertigo
    • Bowel Cancer
    • Breast Cancer
    • CVD
    • Cholesterol
    • Chronic Heart Failure
    • Chronic Kidney Disease
    • COPD
    • Diabetes
    • Depression
    • Ecomony Class Syndrome
    • Gout
    • Haemochromatosis
    • IBS
    • Meningococcal
    • Osteoperosis
    • P. Rheumatica & T. Arteritis
    • Sleep Apnoea
    • Warfarin
    • Weight & Health
  • Vaccinations
    • Australian Immunisation Schedule
    • Chickenpox
    • Gardasil - HPV
    • Covid 19
    • Hepatitis A
    • Hepatitis B
    • Herpes Zoster (Shingles)
    • Hib
    • Influenza
    • Measles
    • MMR
    • Mumps
    • Meningococcal
    • Pneumococcal
    • Polio
    • Rotavirus
    • Rubella
    • Triple Antigen IPV
  • Contact
    • St. Agnes Surgery
    • Tea Tree Medical Centre
  • Search

REPEAT PRESCRIPTION / REFERRAL REQUEST

*Please Note that this service is now not available during Covid*  
Please contact the surgery and request a phone consultation
    By using this service, you agree to the terms and conditions below:

    1. The doctor has the right to not fulfill the request - in which case the applicant will be notified by return email
    2. Two full working days will be required between submission of the request and its collection. This could be longer in unforeseen circumstances
    3. Prescriptions and referrals are to be collected from St Agnes Surgery.
    4. Only the doctors listed on the form will provide this service to their own patients.
    5. It is practice policy that repeat scripts and re-referrals are issued without a consultation only by prior agreement with your Doctor.
    6. This service will not send your data encrypted and is therefore not impervious to data hijack.
    7. The Practice, nor its doctors, accept any liability or responsibility should any part of the process fail.

    8. A fee of $5 for a repeat prescription and $2 for a specialist re-referral applies.

                                                             Please do not use this form for urgent requests.      Please ring the surgery for urgent matters.

    REPEAT MEDICATIONS

    SPECIALIST RE-REFERRAL

Submit
*Please Note that this service is now not available during Covid*  
Please contact the surgery and request a phone consultation
St. Agnes Surgery
1251 North East Road, Ridgehaven, SA  5097
P: 08 8264 3333   F: 08 8263 8590
E: mail@stagnessurgery.com.au
Tea Tree Medical Centre
975 North East Road, Modbury, SA  5092
P: 08 8264 4555   F: 08 8263 9062    
E: 
mail@stagnessurgery.com.au
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​This website contains medical information that is of a general nature only and is intended for education and information. It is not intended as personal advice.
Although every effort is made to keep this website up to date, information is subject to change and as such, its accuracy cannot be guaranteed at all times.  
The contents of this website are protected by copyright and may not be reproduced without prior permission & acknowledgement of St Agnes Surgery.  © 2016 St. Agnes Surgery.
The Practice would like to acknowledge and thank Dr Milton Hart for the majority of the content and Katrina Nichols of Kauri Computing for publishing our website.