REPEAT PRESCRIPTION REQUEST

*DO NOT USE THIS FORM FOR ANYTHING OTHER THAN PRESCRIPTION REQUESTS. PLEASE CONTACT US VIA A 'PATCHS' ONLINE CONSULTATION FOR ANYTHING ELSE*

Please note that we can only routinely prescribe items on your repeat prescription slip. Items not on this slip will need to be sent to your usual doctor and may not be prescribed without an appointment. Please provide medication name, strength and dosage where known.

To protect your privacy, this page uses SSL (Secure Sockets Layer) which is the standard security technology for establishing an encrypted link between the web server and your browser, ensuring all data passed between them remains private.

We will not reply to this request unless there is a problem. Please allow 2 working days before you collect the authorised script.

IMPORTANT - Please be aware

Electronic requests are collated daily at 8.30 am each morning, if your request is received AFTER that time today then the 2 working days required to process your request will not begin until 8.30am tomorrow.

If your request is acknowledged after 8.30 am on a Friday then the 2 working days required to process your request will not begin until 8.30 am on the following Monday or in the case of a Bank Holiday at 8.30 on the next working day after the bank holiday.

 

PATIENT DETAILS





PRESCRIPTIONS REQUIRED







HOLIDAY INFORMATION


COLLECTION AND DELIVERY OPTIONS