Prescriptions

Repeat prescriptions can normally be ordered by handing in your request slip at reception or posting it with an S.A.E. Please allow two working days before collection. You will be asked to return at regular intervals for review, blood tests etc. We do not usually take requests by phone. We have recently developed an internet prescription request service. If you wish to use this please complete the from below

On-line prescription request form

You will receive a confirmation e-mail acknowledging receipt of your repeat prescription request. Please allow us two working days from receipt of this confirmation e-mail to prepare your prescription before coming to the surgery to collect it.

Please note that this information will be sent to us in an unencrypted e-mail. Do not use this way of communicating with us if you are not happy with this small risk of loss of confidentiality.

PLEASE COMPLETE ALL OF THE FIELDS BELOW. We will not be able to process your request without full information in the fields marked with a *

Surname*

First name*

Date of birth*

1st line of Address*

Address (contd.)

Home phone

E-mail address*

Registered doctor*

List below the prescriptions you are requesting. Refer to your repeat prescription re-order list to ensure you spell the drugs correctly and specify the correct strength and dose. The quantity will be that defined on our computer system. If you feel you need a different quantity then please discuss that with your doctor who will amend the computer record if appropriate.

This form can also be used to request drugs that have been prescribed by us before but are not on the repeat prescription list. To request non-repeat drugs please also give the indication for each drug in the freetext box at the bottom of the page. Your request for these drugs can not be processed without this information. The request will be passed to your doctor for authorisation, who may need further information before agreeing to the request or may ask you to make an appointment

Drug name Strength eg. 50mg Dose (eg. 1 twice daily) Quantity

For non-repeat prescription drug requests please enter the indication for each drug in the box below

When you are happy with the information entered above click the Submit form button below.
You will be sent an e-mail to the address you entered above, confirming your order.