Zerenia Clinic UK

Repeat Prescriptions

Please fill in the form below to pay for a repeat prescription of your medical cannabis medication in the UK.

  • To qualify for a repeat prescription for medical cannabis, you need to have had at least 2 appointments with your doctor ( a consultation and follow up appointment)
  • The request will also need to be exactly the same as your previous prescription or a new appointment will be needed with your doctor.

Your order will be reviewed by your Consultant then submitted to the pharmacy who will then contact you to pay for your medication.

*Sometimes we may call you to verify any queries we may have

    Repeat Prescriptions Form + Payment

    Patient Information

    First Name
    Last Name
    Date of Birth

    Delivery Address

    Address line 1
    Postcode
    City

    Contact Information

    E-Mail
    Telephone Number

    Prescription

    Medication Brand or Company (e.g. Khiron, Adven etc.)
    Medication Formulation (e.g. Flower, Oil, etc.)
    Total Quantity
    By using this form you agree with the storage and handling of your data by this website as stated in the privacy policy.
    Note: Your request won't be processed until payment is received.