Prescription Form

Skip to content

Mon-Fri: 08h30 – 20h00 • Sat: 08h30 – 13h00 & 17h00 – 20h00 • Sun: 10h00 – 13h00 & 17h00 – 20h00

Search

Facebook Instagram

Home
About
Services
Shop

Baby & ChildBaby & Child

Baby & Child HealthBaby & Child Health

Baby & Child VitaminsBaby & Child Vitamins

Colic ManagementColic Management

Fever, Pain & FluFever, Pain & Flu

First AidFirst Aid

Skincare ConditionsSkincare Conditions

TeethingTeething

Bathing & ChangingBathing & Changing

Baby & Child ToiletriesBaby & Child Toiletries

Baby WipesBaby Wipes

Changing Bag EssentialsChanging Bag Essentials

Kids BackpacksKids Backpacks

NappiesNappies

Sleepy TimeSleepy Time

FeedingFeeding

Baby Food & WeaningBaby Food & Weaning

Baby Milk & FormulaBaby Milk & Formula

Bottle FeedingBottle Feeding

BreastfeedingBreastfeeding

CupsCups

DinnerwareDinnerware

Soothing & TeethersSoothing & Teethers

SterilisingSterilising

Pregnancy & MaternityPregnancy & Maternity

Baby Shower GiftingBaby Shower Gifting

Hospitable Bag EssentialsHospitable Bag Essentials

New Mum ToiletriesNew Mum Toiletries

Pregnancy SupplementsPregnancy Supplements

Pregnancy TestsPregnancy Tests

Beauty & Skin CareBeauty & Skin Care

AccessoriesAccessories

BeltsBelts

Eye WearEye Wear

Hair AccessoriesHair Accessories

HandbagsHandbags

HatsHats

MISU JewelleryMISU Jewellery

ShoesShoes

Socks & TightsSocks & Tights

Beauty SupplementsBeauty Supplements

HairHair

Brushes & CombsBrushes & Combs

Curls, Kinks & CoilsCurls, Kinks & Coils

Hair AccessoriesHair Accessories

Hair DyeHair Dye

Hair Health VitaminsHair Health Vitamins

Hair StylingHair Styling

Hair Treatments & MasksHair Treatments & Masks

Men’s HairMen’s Hair

Shampoo & ConditionerShampoo & Conditioner

Thinning HairThinning Hair

MakeupMakeup

Brushes & SpongesBrushes & Sponges

EyesEyes

FaceFace

LipsLips

Makeup RemoverMakeup Remover

NailsNails

PalettesPalettes

Skin CareSkin Care

Body SkincareBody Skincare

Facial SkincareFacial Skincare

Female Hair RemovalFemale Hair Removal

Men’s Skincare & BodyMen’s Skincare & Body

ElectronicsElectronics

Audio TechAudio Tech

Cables & ChargingCables & Charging

EarphonesEarphones

HeadphonesHeadphones

SpeakersSpeakers

Electrical Health & DiagnosticsElectrical Health & Diagnostics

Activity TrackersActivity Trackers

Air HumidifiersAir Humidifiers

Blood Pressure MonitorsBlood Pressure Monitors

DiabetesDiabetes

OximetersOximeters

Test KitsTest Kits

ThermometersThermometers

Hair Styling ToolsHair Styling Tools

Male Grooming ToolsMale Grooming Tools

FragranceFragrance

For HerFor Her

For HimFor Him

Health & PharmacyHealth & Pharmacy

Antibacterial & DisinfectantsAntibacterial & disinfectants

Baby & Child HealthBaby & Child Health

Baby & Child VitaminsBaby & Child Vitamins

Colic ManagementColic Management

Fever, Pain & FluFever, Pain & Flu

First AidFirst Aid

Skincare ConditionsSkincare Conditions

TeethingTeething

Electrical Health & DiagnosticsElectrical Health & Diagnostics

Activity TrackersActivity Trackers

Air HumidifiersAir Humidifiers

Blood Pressure MonitorsBlood Pressure Monitors

DiabetesDiabetes

OximetersOximeters

Test KitsTest Kits

ThermometersThernometers

Face MasksFace masks

IncontinenceIncontinence

Lifestyle & WellbeingLifestyle & Wellbeing

Diet & Weight ManagementDiet & Weight Management

Home CareHome Care

Sport’s NutritionSport’s Nutrition

Medicine & TreatmentsMedicine & Treatments

Allergy & Hay feverAllergy & Hay fever

Couch, Cold & FluCouch, Cold & Flu

DiabetesDiabetes

EyecareEyecare

First AidFirst Aid

Hair LossHair Loss

Heart HealthHeart Health

Heartburn & IndigestionHeartburn & Indigestion

PainPain

Stomach & BowelStomach & Bowel

Men’s HealthMen’s Health

Mobility & Daily Living AidsMobility & Daily Living Aids

Vitamins & SupplementsVitamins & Supplements

Baby & Child VitaminsBaby & Child Vitamins

Bone HealthBone Health

Brain HealthBrain Health

Digestive HealthDigestive Health

Energy SupportEnergy Support

Hair GrowthHair Growth

Immune SupportImmune Support

Joint HealthJoint Health

Men’s HealthMen’s Health

MultivitaminsMultivitamins

Pregnancy SupplementsPregnancy Supplements

Women’s Health SupplementsWomen’s Health Supplements

Women’s HealthWomen’s Health

ShoesShoes

AlfaAlfa

AngelsoftAngelsoft

FroggieFroggie

GrasshoppersGrasshoppers

Green CrossGreen Cross

Hush PuppiesHush Puppies

OmegaOmega

Poalo FalconePoalo Falcone

RockyRocky

Step-On-AirsStep-On-Airs

TsongaTsonga

ToiletriesToiletries

AntiperspirantsAntiperspirants

Bathroom EssentialsBathroom Essentials

Bath AccessoriesBath Accessories

Face WashFace Wash

Natural ToiletriesNatural Toiletries

Shower GelsShower Gels

Soap & Hand WashSoap & Hand Wash

Tissues, Wipes & SanitizersTissues, Wipes & Sanitizers

DentalDental

Flossing & AccessoriesFlossing & Accessories

Kids DentalKids Dental

MouthwashMouthwash

Tooth WhiteningTooth Whitening

ToothbrushesToothbrushes

ToothpasteToothpaste

Feminine HygieneFeminine Hygiene

Feminine Wash & WipesFeminine Wash & Wipes

Menstrual CupsMenstrual Cups

Panty LinersPanty Liners

Sanitary TowelsSanitary Towels

TamponsTampons

HairHair

Brushes & CombsBrushes & Combs

Curls, Kinks & CoilsCurls, Kinks & Coils

Hair AccessoriesHair Accessories

Hair DyeHair Dye

Hair Health VitaminsHair Health Vitamins

Hair StylingHair Styling

Hair Treatments & MasksHair Treatments & Masks

Men’s HairMen’s Hair

Shampoo & ConditionerShampoo & Conditioner

Thinning HairThinning Hair

Hair RemovalHair Removal

Body & Face TrimmersBody & Face Trimmers

Hair Removal CreamHair Removal Cream

Shavers & RazorsShavers & Razors

WaxingWaxing

Men’s ToiletriesMen’s Toiletries

AftershaveAftershave

Deodorants & AntiperspirantsDeodorants & Antiperspirants

Hair LossHair Loss

Men’s HairMen’s Hair

Men’s Skincare & BodyMen’s Skincare & Body

Shaving & GroomingShaving & Grooming

Washing & BathingWashing & Bathing

Skin CareSkin Care

Body SkincareBody Skincare

Facial SkincareFacial Skincare

Female Hair RemovalFemale Hair Removal

Men’s Skincare & BodyMen’s Skincare & Body

SuncareSuncare

WellnessWellness

Beauty SupplementsBeauty Supplements

Diet & Weight ManagementDiet & Weight Management

Digestive HealthDigestive Health

Energy SupportEnergy Support

Immunity & ProtectionImmunity & Protection

Natural MedicineNatural Medicine

SleepSleep

Sport’s NutritionSport’s Nutrition

Vitamins & SupplementsVitamins & Supplements

Baby & Child VitaminsBaby & Child Vitamins

Bone HealthBone Health

Brain HealthBrain Health

Digestive HealthDigestive Health

Energy SupportEnergy Support

Hair GrowthHair Growth

Immune SupportImmune Support

Joint HealthJoint Health

Men’s HealthMen’s Health

MultivitaminsMultivitamins

Pregnancy SupplementsPregnancy Supplements

Women’s Health SupplementsWomen’s Health Supplements

Contact Us

+ 264 (061) 22 2581

Dropdown

First Name

Last Name

Date / Time

Phone/Mobile

Email

If we have a Question, how would you like us to contact you?

Phone Call

SMS / Whatsapp

E-mail

Do you have a Medical Aid?

Yes

No

Select your Medical Aid

Medical Aid Number

Are you the Main Member?

Yes

No

Main Member Medical Aid Number

Attach copy of your Medical Aid Card

Choose File

ID

Do you have more than 1x Script?

Yes

No

Type of Prescription repeat

New Prescription

Repeat Prescription

Self-Medication

Shop Products

Attach copy of your Prescription

Choose File

Repeat Prescription

Self Medication

Shop Products

Do any of the below Conditions apply?

High Blood Pressure

High Cholesterol

Diabetes

Asthma

Pregnancy

Breastfeeding

Blood thinning Medication or Cortisone

Stomach Ulcer / Gastritis / Burning Stomach

None

Do you have any Allergies?

Yes

No

Allergies List

Are you on any other Medication?

Yes

No

Other Medication List

I confirm that I am over the age of 18 Years and that all information supplied by me is correct.

How would you like your package delivered?

Store to Door (Windhoek)

Pick up at store

Courier

Choose your preferred Courier

Payment

Cash

Speedpoint

Pay Pulse

Pay Today

Account

Latest Products

Misu Friend and heart bracelet

N$ 359.95
Misu Flower Anklet

N$ 349.95
Misu Star Fish necklace

N$ 359.95
Misu Whale tail necklace

N$ 429.95

Quick Links

Home
About
Services
Shop

Menu

Home
About
Services
Shop

Contact Info

7 Independence Ave. Ausspannplatz, Windhoek
+ 264 (061) 22 2581
+ 264 (061) 22 5318
info@langerhanspharmacy.com

Getting an accurate diagnosis can be one of the most impactful experiences that you can have.

Refund and Exchange Policy

Prescription Form

Contact Us