Completing the Prescription Form

50056250 s kulikovCompleting a Repeat Prescription Form 


When you order a repeat prescription order online, we need to know:

  • The name(s) or description of the drugs you require, their quantities and their strength.
  • Equally important is the name of the Doctor you usually see.
  • Other form requirements such as name, date of birth, etc are self explanatory.

If you do not have an original form to use for your repeat prescription then please contact the surgery for advice (click on the form image in the first tab to display a sample copy of a printed repeat prescription form).

Please keep an eye on your review date - repeat prescriptions are not usually issued after the review date has expired.


Photo © Konstantin Kulikov

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