{"id":570,"date":"2020-02-11T16:51:01","date_gmt":"2020-02-11T16:51:01","guid":{"rendered":"https:\/\/perekliinik.ee\/patient-information\/repeat-prescription-order-form\/"},"modified":"2024-10-23T08:24:35","modified_gmt":"2024-10-23T08:24:35","slug":"repeat-prescription-order-form","status":"publish","type":"page","link":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/","title":{"rendered":"Repeat prescription order form"},"content":{"rendered":"[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]<strong>We remind you that prescriptions are issued within<\/strong> <strong>five working days! <\/strong> Therefore, please keep an eye on the validity of your prescriptions, so you can notify your family physician or nurse on time.<\/p>\n<p>In case of an acute illness, the prescription will be issued on the same day.<\/p>\n<p>You can check your prescription renewal data at\u00a0<a href=\"http:\/\/www.digilugu.ee\/\" target=\"_blank\" rel=\"noopener noreferrer\">www.digilugu.ee<\/a>.[\/vc_column_text][tabbed_section style=&#8221;default&#8221; alignment=&#8221;left&#8221; spacing=&#8221;default&#8221; tab_color=&#8221;Accent-Color&#8221;][tab icon_family=&#8221;none&#8221; title=&#8221;Order form&#8221; id=&#8221;1729671872896-0&#8243; tab_id=&#8221;1729671872897-3&#8243;]\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1529-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1529\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/570#wpcf7-f1529-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"1529\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.0.5\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1529-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/>\n<input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:1529,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false,&quot;notice_dismissed_rollback-cf7-5.9.5&quot;:true,&quot;notice_dismissed_update-cf7-6.0.1&quot;:true}}\" \/>\n<input type=\"hidden\" name=\"redirect_nonce\" value=\"78ac0e2496\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_name\" value=\"document-pdf\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_reference\" value=\"999ce906\" \/>\n<input type=\"hidden\" name=\"wpcf7cfpdf_hidden_date\" value=\"04032025\" \/>\n<\/div>\n<p><label><\/label><br \/>\n<label>Patient\u2019s first name and surname<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-name\" \/><\/span> <\/label>\n<\/p>\n<p><label>Patient\u2019s ID number<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-id\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-id\" \/><\/span> <\/label>\n<\/p>\n<p><label> Patient\u2019s email<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<p><label>Name (or active substance) and strength of medication<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-medicine\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"your-medicine\" \/><\/span> <\/label>\n<\/p>\n<p><label>How to take the medication<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"how\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"how\" \/><\/span> <\/label>\n<\/p>\n<p><label>What you are taking the medicine for<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"why\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"why\" \/><\/span> <\/label>\n<\/p>\n<p><label>Please specify your blood pressure readings.<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"vererohk\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"vererohk\" \/><\/span> <\/label>\n<\/p>\n<p style=\"font-size: 12px; color: grey; margin-top: -20px;\">* Please fill in if you are requesting blood pressure medication.\n<\/p>\n<p><label>Select location<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"asukoht\"><select class=\"wpcf7-form-control wpcf7-select wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" name=\"asukoht\"><option value=\"Vali asukoht\">Vali asukoht<\/option><option value=\"\u00dclemiste\">\u00dclemiste<\/option><option value=\"Pelgulinn\">Pelgulinn<\/option><option value=\"Kiili\">Kiili<\/option><\/select><\/span><\/label>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-554\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-554\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have checked www.eesti.ee to confirm that I do not have valid prescriptions for the necessary medications.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-555\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-555\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I am aware of and take responsibility for the fact that in the case of a chronic illness, I have undergone all the tests and\/or examinations required by my family doctor or nurse in a timely manner.<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"wpcf7-form-control-wrap\" data-name=\"acceptance-556\"><span class=\"wpcf7-form-control wpcf7-acceptance\"><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"acceptance-556\" value=\"1\" aria-invalid=\"false\" \/><span class=\"wpcf7-list-item-label\">I have read and agree to the <a target=\"blank\" href=\"https:\/\/perekliinik.ee\/en\/patient-information\/privacy-policy\/\">Privacy Policy and Terms of Service.<\/a><\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label>We will issue the repeat prescriptions you requested within 5 working days at the latest.<\/label>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Send\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n[\/tab][\/tabbed_section][\/vc_column][\/vc_row][vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][\/vc_column][\/vc_row]\n","protected":false},"excerpt":{"rendered":"<p>[vc_row type=&#8221;in_container&#8221; full_screen_row_position=&#8221;middle&#8221; scene_position=&#8221;center&#8221; text_color=&#8221;dark&#8221; text_align=&#8221;left&#8221; overlay_strength=&#8221;0.3&#8243; shape_divider_position=&#8221;bottom&#8221; bg_image_animation=&#8221;none&#8221; shape_type=&#8221;&#8221;][vc_column column_padding=&#8221;no-extra-padding&#8221; column_padding_position=&#8221;all&#8221; background_color_opacity=&#8221;1&#8243; background_hover_color_opacity=&#8221;1&#8243; column_link_target=&#8221;_self&#8221; column_shadow=&#8221;none&#8221; column_border_radius=&#8221;none&#8221; width=&#8221;1\/1&#8243; tablet_width_inherit=&#8221;default&#8221; tablet_text_alignment=&#8221;default&#8221; phone_text_alignment=&#8221;default&#8221; column_border_width=&#8221;none&#8221; column_border_style=&#8221;solid&#8221; bg_image_animation=&#8221;none&#8221;][vc_column_text]We remind you that prescriptions are issued&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":551,"menu_order":47,"comment_status":"closed","ping_status":"closed","template":"kontakt.php","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-570","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Repeat prescription order form | Perekliinik<\/title>\n<meta name=\"description\" content=\"You can find our repeat prescription order form here. Read more!\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Repeat prescription order form | Perekliinik\" \/>\n<meta property=\"og:description\" content=\"You can find our repeat prescription order form here. Read more!\" \/>\n<meta property=\"og:url\" content=\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/\" \/>\n<meta property=\"og:site_name\" content=\"Perekliinik\" \/>\n<meta property=\"article:modified_time\" content=\"2024-10-23T08:24:35+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/\",\"url\":\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/\",\"name\":\"Repeat prescription order form | Perekliinik\",\"isPartOf\":{\"@id\":\"https:\/\/perekliinik.ee\/#website\"},\"datePublished\":\"2020-02-11T16:51:01+00:00\",\"dateModified\":\"2024-10-23T08:24:35+00:00\",\"description\":\"You can find our repeat prescription order form here. Read more!\",\"breadcrumb\":{\"@id\":\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/perekliinik.ee\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Patient information\",\"item\":\"https:\/\/perekliinik.ee\/en\/patient-information\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Repeat prescription order form\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/perekliinik.ee\/#website\",\"url\":\"https:\/\/perekliinik.ee\/\",\"name\":\"Perekliinik\",\"description\":\"Perekliinik \u2013 teie ustav perearst!\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/perekliinik.ee\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Repeat prescription order form | Perekliinik","description":"You can find our repeat prescription order form here. Read more!","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/","og_locale":"en_US","og_type":"article","og_title":"Repeat prescription order form | Perekliinik","og_description":"You can find our repeat prescription order form here. Read more!","og_url":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/","og_site_name":"Perekliinik","article_modified_time":"2024-10-23T08:24:35+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/","url":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/","name":"Repeat prescription order form | Perekliinik","isPartOf":{"@id":"https:\/\/perekliinik.ee\/#website"},"datePublished":"2020-02-11T16:51:01+00:00","dateModified":"2024-10-23T08:24:35+00:00","description":"You can find our repeat prescription order form here. Read more!","breadcrumb":{"@id":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/perekliinik.ee\/en\/patient-information\/repeat-prescription-order-form\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/perekliinik.ee\/en\/"},{"@type":"ListItem","position":2,"name":"Patient information","item":"https:\/\/perekliinik.ee\/en\/patient-information\/"},{"@type":"ListItem","position":3,"name":"Repeat prescription order form"}]},{"@type":"WebSite","@id":"https:\/\/perekliinik.ee\/#website","url":"https:\/\/perekliinik.ee\/","name":"Perekliinik","description":"Perekliinik \u2013 teie ustav perearst!","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/perekliinik.ee\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/pages\/570","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/comments?post=570"}],"version-history":[{"count":15,"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/pages\/570\/revisions"}],"predecessor-version":[{"id":6869,"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/pages\/570\/revisions\/6869"}],"up":[{"embeddable":true,"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/pages\/551"}],"wp:attachment":[{"href":"https:\/\/perekliinik.ee\/en\/wp-json\/wp\/v2\/media?parent=570"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}