Escreet Grove Surgery

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

Repeat prescriptions will be issued at the doctors discretion.
Requests for prescriptions:

• Please use the tear-off section on the right hand side of your last prescription.
Tick the items you require.
• There are blank repeat prescription forms at reception for you to use as an alternative. Please make sure you fill in all the information needed on these forms.
• Fax your requirements. Again, with all the relevant information.

WE DO NOT TAKE REQUESTS FOR REPEAT PRESCRIPTIONS OVER THE TELEPHONE
Please note that a repeat prescription takes 48 hours to process. Therefore make sure you request your medication in advance.

Periodically you will be asked to see either the doctor or nurse to check that your repeat medication is correct; a general check-up will also be given at this appointment.

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*

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