Upload Prescription Use this section to upload your prescription to us and we will revert to you, as per your needs, as quickly as we can. Please ensure you give accurate information on your prescription including name, strength and quantity of medication. Are you a doctor? ---YesNo Patient Name Patient Email Patient Phone No. Prescriber's Name Prescriber's Email Prescriber's Phone Hospital Name Drug Name Dosage Prescription File. ( Only .Pdf, .Png, .Jpg, .Jpeg Files Are Allowed ) Additional notes Full Name Email Address Phone Number Prescription File. ( Only .Pdf, .Png, .Jpg, .Jpeg Files Are Allowed ) Additional notes Report any adverse drug reaction here Get the help you need Report Now