Repeat Prescriptions

HOW DO I....
Obtain A Repeat Prescription?

If you take medication on a long-term basis and do not always need to see the general practitioner for your prescription of medicines, you will be issued with a computer slip attached to your prescription. This should be returned to the practice to request further medication. You can either post the repeat order form or hand it in to your surgery's reception. You can also order your prescription via e-mail using the form below.

Please allow two working days after your repeat prescription request is received by the practice before collection. If you wish for your prescription to be sent to the local chemist please inform the staff or write the chemist's name on the repeat order form. Please note that only in rare circumstances will requests for repeat prescriptions be taken over the phone.

REPEAT PRESCRIPTION REQUEST

* = Required field

First Names:

Last Name:

Date of Birth
(dd/mm/yyyy):

Email Address:

*
You must enter your correct email address to receive confirmation.

Phone Number:

Your Surgery:

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*

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HOW DO I.... Obtain A Repeat Prescription?

HOW DO I....
Obtain A Repeat Prescription?