Cossington House Surgery Drawing

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

Please give 48 hours' notice.

To avoid error and confusion, WE CANNOT ACCEPT REQUESTS ON THE TELEPHONE.

It is safer for you if you either make your request by letter, or, preferably, by using our special repeat prescription print-out note attached to your prescription which details all your medication. If you notice any error we would be grateful if you would let the receptionist know.

If you want your prescription to be sent to you in the post, please enclose a stamped, addressed envelope. Some local pharmacies operate a collection service. If you would like your prescription to be collected by one of them, please tick the appropriate name on the repeat prescription note.

From time to time, you may receive with your prescription a request to see a doctor or the nurse. This is because most medications require regular reviews to ensure their greatest benefit. No further prescription will be issued until you have seen the doctor.


THIS FORM IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

Please refer to the information above for prescription requests.

REPEAT PRESCRIPTION REQUEST
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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