Upload Your Prescription | Prospect Compounding Pharmacy Ballarat

Upload Prescription

We would love to hear from you! Upload your prescription below by chosing the option for you. We will provide up to date advice, and if compounding is an option, we will advise on the best solution for your health.

Is your Prescription?
- New Prescription
- Repeat from elsewhere
- Repeat from Us
Prescription Number(Required)
*Can be found on the label of your last supply.
Upload Prescription(Required)
Drop files here or

Max. file size: 64 MB, Max. files: 2.
*Upload your Prescription/s
Name(Required)
First Name Last Name
Date of Birth(Required)
DD slash MM slash YYYY

*Enter your Date of Birth
Phone Number
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Which items are needed
*Insert one medication per line
Additional Notes
Prior to compounding, we will contact you as soon as we can to discuss your prescription(Required)
- Phone
- Email
Delivery Method(Required)
- Pickup in store
- Post (Charges apply)
Shipping Addres(Required)
Street Address City State Post Code
*Please note that it is a legal requirement that the original prescription is received by Prospect Compounding prior to supplying the compounded preparation.
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- I understand that it is a legal requirement that the original prescription is received by Prospect Compounding prior to supply