Prescriptions

Repeat prescription request: up to 5 working days

Acute medication request: 10 working days

Please make sure you allow enough time to order your medication
You can’t order medication you’ve never had before using this form: please call us

If you tell us which local pharmacy you use we’ll send your prescription to them, and you can collect it there as soon as it’s ready. It may take additional time for your pharmacy to process the prescription. Please check with them before going to collect it, if you’re unsure.

If you requested a mixture of repeat and acute medications, we’ll process the repeat ones and send them to the pharmacy first, so you have access to these medications as quickly as possible. Once your prescription for acute medications is done, this will be sent on afterwards (currently 10 working days from date of ordering).

Please check your prescription for any notes sent by the GP. If they’ve requested that you book a medication review appointment with us please do it as soon as possible – don’t wait until your medication is about to run out.

This form is only for repeat prescription requests. If you have a question about your health condition, please call us to make an appointment on 0300 790 6266. If you need to order your contraceptive pill, please make an appointment with Diane or Delia, one of our Senior Practice Nurses.

Once you click submit, your prescription request will be sent to us. You won’t receive an email confirmation.

Repeat Prescription Request

First Name

Last Name

Enter Email

Confirm Email

Date of birth

Please use format day/month/year e.g. 12/05/1979

Phone Number

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice.

Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

Item 9

Item 10

Item 11

Item 12

Item 13

Item 14

Item 15

Special Medication Request

Please Note: Special requests may not be authorised by the Doctor.

Collect from

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

I consent to the practice collecting and storing my data from this form.

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