How Do I Obtain A Repeat Prescription ?

HOW DO I....

OBTAIN A REPEAT PRESCRIPTION ?

With the consent of your doctor, you may obtain repeat prescriptions either by placing your request slip in the box provided in the entrance lobby of the surgery, by post (enclosing a stamped, addressed envelope), by fax (01299 828166) or by completing the form below.

If you have a query regarding any items you require, hand it to the staff at the reception desk. Please give at least 48 hours’ notice. Genuinely urgent requests for repeat prescriptions will be issued he same day but you may only be provided with an emergency supply. Please remember that repeat prescriptions may only be collected Monday to Friday. Your local chemist may collect your prescription for you but you will have to make the arrangement with them yourself.

REPEAT PRESCRIPTION REQUEST FORM

* = Required field

Patient ID :

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.

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*