Instructions to Set Up Direct Debit:

• If applying from the Repbulic of Ireland, click here to download our ROI Application Form
• If applying from the United Kingdom, click here to download our UK Application Form

Once downloaded, continue with the following steps:

1. Fill in the application form as required (you can either print the page or fill it in on your desktop as the file is interactive)
2. Once completed, please email the form to accounts@flemingmedical.ie

If you have any issues with the above instructions, please do not hesitate to contact us at any of the following:

•   Phone: 1800 307777 (Republic of Ireland) or 0800 731 4315 (United Kingdom)
•   Email: pharmacy@flemingmedical.ie