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Prescriptions

Repeat prescriptions can normally be ordered by handing in your request slip at reception or posting it with a stamped addressed envelope. 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 repeat prescription request form

This form is for items listed on your repeat prescription request slip. If you want to order items not on this list please complete the Acute prescription request form which will be processed separately

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.

 

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

 

Please use the box below to let us know any other information or special requests relating to the prescription request

 

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.

Acute prescription requests