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 2 working days before collecting your prescription.

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.

We will accept prescription requests over the telephone to prevent you having to attend the surgery, however these will still take 48 hours minimum to process.

Also if you have a nominated pharmacy your medications will be sent directly to this pharmacy. If you do not have a nomination we will be nominating the pharmacy nearest your registered home address and will be sending your prescription electronically to them. You will receive a text message advising you of which pharmacy this is. So please advise reception if you have a preference.

Repeat Prescription Request

Repeat Prescription Request

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Medication Required

Item Description
Strength
Quantity