Repeat Prescriptions

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How Do I....Obtain A Repeat Prescription?

Please allow 48 hours for repeat prescriptions. Please use the computer slip, ticking the boxes for the items you require, or fill in a repeat prescription request form available from reception, and either drop it in or post it with a stamped addressed envelope for return. Personal arrangements may be made with your local Pharmacy to order and collect. We regret that, except in exceptional circumstances, we cannot take repeat prescription requests over the telephone.

THIS FORM BELOW IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

REPEAT PRESCRIPTION REQUEST FORM

* = Required field

First Names:

Last Name:

Date of Birth
(dd/mm/yyyy):

Email Address:

Phone Number:

Your Usual Doctor:

Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip.

Drug Name	Strength
*

If you require more than 10 items, please submit another request.

Collection Point :

Comments:
(any comments that you may have about this service, or additional medication)

CONFIDENTIALITY - TERMS AND CONDITIONS:
The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I accept the terms and conditions above*