Repeat Prescriptions

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

Requests for repeat prescriptions must be made using your repeat prescription slip. If you leave an SAE we will post your prescription back to you. Please DO NOT telephone your request as this will only be accepted in exceptional circumstances. At least 48 hours' notice is required (two working days); allowing a longer period for Public/Bank Holidays or weekends. Please do not ask for repeat prescriptions when you see the doctor.

f you have lost your request slip please write very clearly your name, address, date of birth, a contact number and the name of each item required.

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*

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

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