Repeat Prescriptions

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

Repeat prescriptions will be issued at the doctor’s discretion and are normally for patients on long term treatment. Repeat prescription requests can be made in writing or by calling at the surgery during opening time Monday to Friday. They may also be requested by fax or by the form below. Sorry, but to avoid mistakes, we cannot take requests by phone.

Only items on your repeat prescription list can be ordered this way, any other requests will not be issued.

We are unable to take orders or issue prescriptions at weekends, public holidays or out of normal surgery hours. Please allow 48 hours before collection and make allowances for weekends and public holidays. Where possible give exact drug names when ordering. Please enclose a stamped, self-addressed envelope if you want us to post your repeat prescription back to you.

Please refer to the information above for prescription requests.

REPEAT PRESCRIPTION REQUEST

* = Required field

First Names:

Last Name:

Date of Birth
(dd/mm/yyyy):

Your Surgery:

Email Address:

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

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?