Practice – Repeat Prescription Request

Please remember to allow 48 hours (two working days), excluding weekends and Bank Holidays, for your request to be processed and longer if it goes to a pharmacy.

Repeat Prescription Request
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice.

Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.

State the name of the drug being requested, drug strength, dose (eg number of tabs), numbers of times a day and amount (number issued).

Please Note: Special requests may not be authorised by the Doctor.
Please arrange this facility with your Pharmacy

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
Please note: For reasons of privacy this form will not store your details or medication request. There is no email acknowledgement with this service. Once you send this form a notification message will appear to indicate successful submission.