How Do I....

Obtain A Repeat Prescription?

If you are on regular medication, a request for a repeat prescription can be made by bringing your repeat slip to the surgery or sending a written request. Please allow 48 hours for prescriptions that are to be collected from the surgery or 72 hours for collection from the chemist. Please enclose a stamped addressed envelope if you would like your prescription sent to you.

You will normally be required to see the nurse every six months if you are on regular medication.

Please Note: You can now request your repeat prescriptions using the form below.

Repeat Prescription Request

* = Required field

First Names:

Last Name:

Date of Birth
(dd/mm/yyyy):

Email Address:

*
You must enter a genuine email address, otherwise your request may be rejected by our email system.

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: *
Please specify your collection point:
• The Surgery (48 hours)
• A Local Pharmacy (Please State Which Pharmacy By Name) (48 hours)
Please Note: If you would like to pick up your prescription from a local chemist, please first check with them that they have a delivery service set up with this practice.

Comments:
(any comments that you may have about this service, or additional medication)

Patients Address

Address		*

Town		*
Postcode		*

How Do I....

Obtain A Repeat Prescription?

Repeat Prescription Request

Drug Name

Strength