Please complete this order form if you have a script that you requiring filling and you are currently isolating due to COVID-19 and have no friends or family able to offer support of accessing essential items.
SOME THINGS TO KNOW:
I have read and agree to the Terms and Conditions outlined as part of this Delivery Service.
Privacy Statement: Please note that the data collected for this program will be used for the sole purpose of this program only and stored and kept with the strictest confidence. All personal data relating to you will be deleted correctly at the conclusion of the program. To read our full privacy policy please go to our website: http://www.onslowcci.com.au/publications.aspx alternatively you can contact the OCCI office on 9184 6182 for a copy.