Online Prescription - Medizin Mariahilf

Service for patients of Medizin Mariahilf – exclusively for long-term medication prescribed by us!

Dear patients,

To reduce waiting times at the reception, you now have the possibility to submit your prescription orders online.

Please take into account that we can only hand out prescriptions after they have been approved and signed by the medical personnel.

Prescription pick-up (only with e-Card):

Orders before 12 pm: Pick up (with e-Card) after 3 pm on the same day (3. Floor/Top 19)

Orders before 6 pm: Pick up (with e-Card) after 9 am on the following day (3. Floor/Top 19)

Please fill out all mandatory fields and enter all needed medications in the following grid.
Then click the submit button and a mail with your prescription order will be sent to Medizin Mariahilf.

First name (required field)

Last name (required field)

Social security number + date of birth (required field)

Email adress (required field)

phone number (required field)

name of the pharmacy (required field)

fax number pharmacy (required field)

Please issue the following prescriptions for me

Drug	mg/ml	Dosage	Package Size	number of packages

Consent form

I consent that Medizin Mariahilf may process the data submitted by me for the Purpose of the prescription order until further notice.