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Tel: 01753 541268  

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* Request a Repeat Prescription Online
 
Disclaimer:

Please note this is not a secure form.
This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of repeat prescription request can not be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service.

Please allow 2 working days before collection.
 

Patients Name*  
Date of Birth*    
Address    
Email Address    
Contact Tel.*    
Patient No.*(found on your repeat slip)    
Your Doctor    
Please select where you want to collect your prescription  
     
* You must provide this information.    
     
 

     Item Description

 Quantity
       (e.g. Paracetamol) (e.g. 100)
     
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
   
* Not for medical problems *
   
Comments about this Prescription
 

 


 
   

 

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CONTACT US

Urgent Problems/
Home Visits/
Enquiries
01753 541268

Appointments:
01753 546088

Health Visitor:
01753 636519

District Nurse:
01753 636500

CLICK HERE for our normal opening hours


CLICK HERE to order repeat medication online


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Click here for our travel clinic

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