Repeat Prescriptions

How Do I....
Obtain A Repeat Prescription?

You may request repeat prescriptions if your doctor agrees. Our repeat prescription system is computerised and each prescription will have a counterfoil showing your medication which you should use for your next request. Please allow two working days' notice. If you would like us to post a prescription to you please enclose a stamped self-addressed envelope. We cannot take requests for repeat prescriptions over the telephone but are happy to receive them via our fax number: 020 8673 3312.

We also participate in the repeat dispensing scheme for those patients on long-term medication for certain conditions. Please ask your doctor or nurse for more information to see if you are eligible to join the scheme.

THIS FORM BELOW IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

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*

How Do I.... Obtain A Repeat Prescription?

How Do I....
Obtain A Repeat Prescription?