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I need a repeat prescription

You can order your repeat prescription online now

Please note:

You can fill in a form at the health centre or drop one in. Requests cannot be taken by telephone.

Allow two working days for the collection of repeat prescriptions.

If you have a computer request form from your previous prescription, please use it.

If you order a prescription by post, please enclose a stamped addressed envelope and allow 2 working days.

You can fax your medication request to us at 020 7837 3656. Please include your name, address, and the name of the medication, including the dose and strength you require.

Order your repeat prescription online now by filling in and submitting the form below:

 

REPEAT PRESCRIPTION REQUEST FORM
* = Required field
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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