Your Details:
What do you want us to do with your prescription?*
Please Note:
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Please allow 48hours for request to be processed.
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Patients may be asked to attend Dr for review depending on last attendance and current medications requiring monitoring.
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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.
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