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Prescription Request Form

You can order repeat prescriptions via Patient Access (after registering for this service via the surgery), via one of the local pharmacies, by placing a request through the practice's letterbox or by dropping your request in the box located at our reception.

Ideally when posting a request through the letterbox you should use the tick-box list that was attached to the right-hand-side of your previous prescription.  If for any reason you do not have a tick-box list you can use our Prescription Request Form.

Prescription Request Form

You can utilise this template form to order your repeat medications if you do not have access to Patient Access or your tick-box list.

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