Elisabethallee 61-63, 1130 Vienna

doctor’s visit by appointment
01/877 23 47 or allgemeinmedizin@amkueniglberg.at

Online Prescription Ordering

Online Prescription Ordering is not available on small devices like smartphones.

Please visit our website with a desktop computer or tablet computer.

    It is possible to send us a request for a medical prescription online. Therefore, fill in the form completely. It is important, that you state the precise drug name, the package size and the dosage – otherwise we cannot prepare your prescription.

    First name

    Surname

    Social security number with date of birth

    Phone number for questions

    Email address for confirmation


     

    Medicine
    (Pay attention to the exact name of the medicine!)

    Concen-
    tration

    Package
    size

    Number of
    packages

     

    e.g.
    Medicine name

    e.g.
    500mg

    e.g.
    60 Pc.

    e.g.
    2

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    Remarks

    Please be aware, that prescriptions are handed over once a medical and health insurance verification took place.

    You can pick up your prescription the very next day, but don’t forget to bring your e-card with you!

    Your data will be processed in accordance with our privacy policy.