Repeat Prescription Request

PLEASE BE ADVISED THAT NEWLY REGISTERED PATIENTS WILL NEED TO DISCUSS WITH A CLINICIAN THEIR REQUIREMENTS PRIOR TO THEIR FIRST PRESCRIPTION FROM THE PRACTICE. PLEASE CALL THE PRACTICE AT 08:30 ANY WEEKDAY MORNING TO ARRANGE A CALL BACK FROM A CLINICIAN.

Do you need to re-order your medication? You can order repeat prescriptions online.

You have 3 options to order your repeat prescriptions.

Option 1 is to continue to use the service form BELOW.

Option 2 is to register and use the new and more secure online ordering service, or

Option 3 is to complete a repeat prescription request form in the practice, and place this either with a member of staff or one of the prescription request boxes.

Only under exceptional circumstances will Practice staff be able to take a prescription request over the phone.

If you wish to use option 2 and register for the new service then please click on this link – Repeat Prescription Registration Service

All new and existing patients will need to register for the option 2. All patients must have a valid email address for this new service and is used solely by you or your representative.

Once you have registered for the new service please click on the link – Repeat Prescription Ordering Service to order your repeat prescriptions.

For further information please refer to our repeat prescriptions policy.

Prescription requests have a minimum turn around time of 72 working hours, please make sure you order in plenty of time.

PLEASE NOTE THAT THIS FORM IS FOR ORDERING REPEAT MEDICATION ONLY. DO NOT USE THIS FACILITY FOR REQUESTING MEDICAL ADVICE.

First name*

Last name*

Email*

Mobile Phone Number*

Date of Birth*

day/month/year

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice.

Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

Item 9

Item 10

Special Medication Request

Please Note: Special requests may not be authorised by the Doctor.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

* I consent to the practice collecting and storing my data from this form.

Repeat Prescription Request

Prescription Items

Privacy Policy

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