Repeat Prescriptions

Please note that we request 72 hours notice for repeat prescription collections.

Please note, we are only able to keep prescriptions for 7 days at the surgery unless paid for. After this point they will be returned to the dispensary.

Title

Your Full Name*

Address Line 1

Address Line 2

City*

Postcode*

Telephone Number*

Mobile Number (optional)

Email*

Patients' Names

Medication 1

Current dose

Medication 2 (optional)

Current dose (optional)

Medication 3 (optional)

Current dose (optional)

Select a surgery

Security Question

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Repeat Prescriptions

Please note that we request 72 hours notice for repeat prescription collections.

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