Get Order Form - Pharmacy Direct

Filling out the Order Form - Pharmacy Direct online can be a straightforward process when you understand each section. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to complete the Order Form - Pharmacy Direct online.

1. Click 'Get Form' button to obtain the Order Form and open it for editing.
2. In the 'Personal details' section, use block letters to fill in your title, first name, last name, customer number, and your contact information, including phone, fax, mobile, and email address.
3. For the 'Delivery Address,' provide the necessary details including company name (if applicable), street address, suburb, state, and postcode. Ensure this information is complete as it is required for delivery.
4. When detailing your order, list the product name, catalogue number, quantity needed, and whether you would like a substitute product for any items. If necessary, attach additional pages for larger orders.
5. Complete the 'Medicare details' section by including the name on your Medicare card, your Medicare number, healthcare or pension number, and the expiry date. Remember to attach copies of any prescriptions as needed.
6. Fill in the payment method section by selecting your preferred option: Visa, Mastercard, Diners, Amex, or Direct Debit. Provide the corresponding details including card number, expiry date, and CVV if applicable.
7. Before submitting, review your entire order to ensure all information is accurate. Save your changes, and you can download, print, or share the completed form as required.

Start filling out your Order Form - Pharmacy Direct online to ensure your prescriptions are managed effectively.