Repeat Prescription Request

If you do not have a Patient Access account, you can use this form to request any repeat prescriptions from the Practice.

Please allow 3 working days before collecting your prescription.

If you have been advised to have a medication review, please talk to a doctor first by choosing the option ‘Routine/Follow-up appointment request’.

In future you may wish to consider registering for our Online Services. The Online Services system remembers which medications you are on and makes requesting repeat prescriptions faster and easier.

If you are requesting the contraceptive pill, you will need to complete the Contraceptive Pill Review as well and submit both.

Repeat Prescription Request

Repeat Prescription Request

Section

Medication Required

Item Description
Strength
Quantity (eg. One month, Two month. Please specify)

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Thursday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Friday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Monday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Tuesday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Wednesday.

Your Prescription will be ready for collection from your chosen pharmacy after 4.00pm on Thursday.