Upload Your Prescription

Use this form to send St Mary Compounding Pharmacy a photo or PDF of your prescription for review. Keep the full prescription in frame and make sure every detail is readable. Accepted formats are JPG, JPEG, PNG and PDF. For urgent requests, please contact the pharmacy directly.

What files can I upload?

Accepted formats: JPG, JPEG, PNG or PDF.

Upload Prescription

First name*

Last name*

Email*

Phone Number

Leave us a note (optional)

I confirm that this prescription belongs to me, or I am authorised to submit it, and I consent to St Mary Pharmacy using the information provided to review and process my request.

Thanks, your prescription has been sent to St Mary Pharmacy for review. We’ll contact you if we need more information.

We couldn’t confirm your submission. Your details are still here—please try again.

Your uploaded prescription will be sent to St Mary Pharmacy for review. Please contact the pharmacy directly for urgent requests.