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Order Repeat Prescription

To request a repeat prescription, please complete the form below.

IMPORTANT: please enter the name and address of the person the prescription is for - if you are ordering on behalf of someone else do not put your own name and address as this leads to a delay in processing the prescription.

We can only process requests for repeat prescriptions – if you require a new medication you will need to book an appointment or speak to one of our doctors on the telephone.

Please DO NOT RING to check if your prescription is ready, if you have allowed 48 hours your order will be ready at your usual collection point.

Your Details
This will allow us to locate you quickly on our Patient Database.
Your Address
Your Contact Details
Prescription Details
Medication Required

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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