• Please fill in the form below
  • All repeat prescription requests take 48 hours
  • Occasionally we may ask to see you before we can renew a prescription, in case you need a blood test or review.
  • To promote best practice and for reasons of patient safety, we cannot take prescription renewal requests over the phone.

    Your Details:
    Pharmacy Details:
    Medication Details:
    e.g.: Panadol
    500mg
    3 times daily
    2 tabs
    1 month
    What do you want us to do with your prescription?*

    Please Note:

    • Please allow 48hours for request to be processed.
    • Patients may be asked to attend Dr for review depending on last attendance and current medications requiring monitoring.
    • I acknowledge that if I am collecting my script that this can only be done between 12.00-12.30 & 4.30-5.00 daily

    GDPR: We will only use the information you provide us in this form to deal specifically with your request for a repeat prescription and we will not use it for any other purpose.