REPEAT
PRESCRIPTION REQUEST FORM
Please allow a minimum of two working days (48 hours) between the request
and collection.
From time to time we will ask you to see the doctor or specialist nurse to review
your treatment and update your repeat prescription.
Please
note -
1) This is not a confidential service, the system uses email and is
not encrypted. Patients use this system at their own risk.
2) You are not able to save repeat prescription requests online due to the Data Protection Act.
If you experience
any problems with this form please let us know.
* = Indicates required information.
An automatic
reply will be sent to confirm your repeat prescription request.
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