Prescriptions

Use the form below to order a repeat prescription.

Prescriptions can only be ordered in this way if they appear on your repeat prescription re-order list (printed on the right-hand side when you collect a repeat prescription from us).

Please allow us two working days to prepare your prescription before coming to the surgery to collect it.

IMPORTANT: Please bring your confirmation email with you when you go to collect your prescription

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 YELLOW FIELDS BELOW

First Name

Surname

Date Of Birth (dd/mm/yyyy)

1st Line of Your Address

Your E-Mail Address

Registered GP

 

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.

PLEASE NOTE - 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 (e.g. 500mg)

Dose (e.g. 1 twice a day)

1

2

3

4

5

6

7

8

When you are happy with the information entered above click the Send Prescription Request button below.
You will be sent an e-mail to the address you entered above, confirming your order.