Repeat Prescription Request

If you do not have a Patient Services account, you can use this form to request any repeat prescriptions from the Practice. Please register and use our Online Patient Services in future.

Please allow 3 working days before collecting your prescription or medication if you are one of our dispensing patients (you get your medication from the surgery). For non-dispensing patients please sign up to the EPS (Electronic Prescribing Service) by nominating a pharmacy. Speak to our Dispensary team or ask your local pharmacist to set this up for you. This means we can send your prescription directly to them electronically which saves you collecting it.

The Online Patient Services system remembers which medications you are on and makes requesting repeat prescriptions faster and easier.

Repeat Prescription Request

About You

Please use this date format: DD/MM/YYYY.
Any responses we send will go to this email address.

Medication Required

Item Description
Strength
Quantity

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Thursday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Thursday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Friday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Monday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Tuesday.

Your Prescription will be ready for collection from your chosen pharmacy after 12.00pm on Wednesday.