Site Admin

Home

Our Services

Our Members

Your Health

FAQ

About Us

	Member Services
Use our Online Services: Order your next repeat online Change your delivery address Change your contact details Change your postal address Change your medical aid details Get the balance on your account Arrange a debit order Are you familiar with the Clicks Direct Medicines credit policy?

Useful Links

Links to medical aids, administrators, suppliers and other health related sites. Useful healthcare links

Contact Details

Phone us on 0861 444 405 or Contact Us online and we'll be happy to help you with any questions you may have.

Order Chronic Medicine Online

Chronic Medicine Order Form

Please complete the order form below. Ensure that you enter your contact and member information correctly so that there is no delay in the delivery of your order. Remember that your delivery date must allow 5 working days for Clicks directmedicines to process your order.

First Name:*	Last Name:*
Daytime Phone:*	Email Address:*
Member Information
Please provide one of the following so that we can locate your script on our dispensing system:
Direct Medicines No:	ID Number:
Medical Scheme Number:	Clicks ClubCard Number:

Order Details
Please enter the medicine items that you are ordering. Type each item on a separate line:
Order Details:*
Delivery Date (dd/mm/yyyy):*

General
General Comment:





* Required