top of page

Online Script Request

Available ONLY to Existing Patients

  • Scripts are only available for collection after 48 hours of submitting this form. Please call reception to confirm that your script is ready for collection (011 616 4400) prior to arrival.

  • A script fee of R170.00 is payable upon collection.

Are You An Existing Patient of KRMC?
YES
NO
Doctors Name
bottom of page