How Do I Obtain Repeat Prescriptions

HOW DO I...
OBTAIN REPEAT PRESCRIPTIONS?

The best way to order your medication:

• Use the list of items from your last prescription and clearly mark with a tick the items you need. Return this list to the surgery (include a stamped addressed envelope if you wish the prescription to be posted back to you).

• Order on-line, using the form below.

• Many local pharmacies are happy for you to leave your list with them. They will deliver it to us, collect your prescription and dispense it ready for collection. Please allow longer time for this method.

Please remember:

The prescription system works on a 48 hour cycle (slightly longer if you order through the pharmacy).

In line with official advice and except in special circumstances, we do not take prescription requests over the telephone.

REPEAT PRESCRIPTION REQUEST

Fields marked * are mandatory

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.

Comments

Please use the comments box below to name where your repeat prescription should be sent.

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*