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Medication Delivery Service

Submit your request via Medication Delivery Service Request Form below

  • Only applicable to existing patients whose last visit was within 3 months, subject to physician’s review.

  • The request form will be reviewed (subject to physician’s approval) and prepared during working hours (Mondays to Fridays, 9.00am to 6.00pm).

  • Payment can be made online via PayPal

  • Orders will be processed and delivered to your specified delivery address in Singapore within 3 working days upon confirmation of order transaction and fully receipt of payment.

  • Charges for medication are identical to in-clinic rates. Delivery charges apply.

  • Conditions apply. For more details, please refer to our Terms & Conditions.

  • By completing and submitting this form, I hereby declare and warrant that the personal data which I am providing to you in this form, is legitimate and accurate, that I am providing the personal data to Ma Kuang Chinese Medicine & Research Centre Pte Ltd (Whether directly or through third party service providers) to collect, use, disclose and process such personal data for the purpose of processing medication delivery service.

  • For data privacy, please refer to privacy policy.

Medication Delivery



NRIC/Passport No:

Date of Birth

Contact No:

Email Address

Postal code:

Delivery Address 1:

Delivery Address 2:


Unit No:

Clinic Visited:

Date of Last Visit :

Days of Repeat Medication Required:

Remark :


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