Witton Street SurgeryWitton Street Surgery

How Do I....
Obtain A Repeat Prescription?

Patients on regular medication are able to obtain repeat prescriptions at reception. Repeat prescriptions require 48 hours’ notice. To order a repeat prescription please use the computer slip attached to your prescription indicating with a "tick" the items required.

Requests by telephone will not be accepted. You may post or fax (on: 01606 350659) your prescription request if this is more convenient for you. You are also able to request regular medication on line. Please ask for more details at reception.

THIS FORM IS CURRENTLY INACTIVE

REPEAT PRESCRIPTION REQUEST
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


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