FILL IN A FORM AND PAY

In the absence of a PESEL number, it is necessary to provide the passport number, date of birth and country of issue of the passport because issuing an e-prescription without providing the above-mentioned data is impossible.

THE DOCTOR WILL MAKE CONTACT AS SOON AS POSSIBLE, USUALLY UP TO 60 MINUTES; IN EXCEPTIONAL SITUATIONS, CONTACT WILL BE MADE BY A MAXIMUM OF 22:00 ON A GIVEN DAY. REGISTRATION AFTER 9PM: THE DOCTOR WILL CONTACT YOU BETWEEN 8AM AND 12PM THE NEXT DAY!

Attention

1. Possibility of obtaining a refundable prescription (after attaching documentation)

2. Possibility of obtaining a prescription for psychotropic drugs documentation is required.

3. Possibility of obtaining an e-prescription for psychotropic drugs from the IV-P group, e.g. zolpidem, diazepam, alprazolam, clonazepam and other drugs from the IV-P group – is only possible after providing the doctor with access to the IKP (online patient account) in order to verify the treatment history – if the IKP is not provided, no refund will be possible 

4. Please note! I do not issue prescriptions for drugs from the I-N or II-P (Rpw.) groups. To obtain a prescription for the above drugs, please see a specialist in person or visit a specialist clinic.    

ATTENTION

1. Possibility of obtaining a refundable prescription (after attaching documentation)

2. Possibility of obtaining a prescription for psychotropic drugs documentation is required.

3. Possibility of obtaining an e-prescription for psychotropic drugs from the IV-P group, e.g. zolpidem, diazepam, alprazolam, clonazepam and other drugs from the IV-P group – is only possible after providing the doctor with access to the IKP (online patient account) in order to verify the treatment history – if the IKP is not provided, no refund will be possible 

4. Please note! I do not issue prescriptions for drugs from the I-N or II-P (Rpw.) groups. To obtain a prescription for the above drugs, please see a specialist in person or visit a specialist clinic.