Prescription Order Form

The prescription request form can be collected from reception or alternatively you can fill out the form below.

*Please ensure you list each medication you require

The charge for a repeat private prescription is €20.

It is your responsibility to ensure your prescriptions are renewed when you collect your last script from the pharmacy. Please place your order in sufficient time to ensure you do not run out of medication.

PLEASE NOTE: We do not accept requests for Repeat Prescriptions over the phone. Please complete this form by listing the items you require and submit. All Repeat Prescriptions take 72 hours (3 Days) to process.

  • Date Format: DD dash MM dash YYYY
  • Name of DrugStrength of drug i.e. 5mg, 20mg etcNo. of tablets taken per day 
    To add more than one item, click the + icon
  • This field is for validation purposes and should be left unchanged.
Cahernane Medical is located at 42 Cahernane Meadows, Muckross Road, Killarney

Cahernane Medical Centre,
42 Cahernane Meadows,
Muckross Road,
Killarney, Ireland V93 P6DE
Tel: 064 66 31716
Fax: 064 66 71677