HOW DO I...
Request Repeat Prescriptions?

To order a repeat prescription, please place the tear-off slip from your computerised prescription or a handwritten note containing your name, address and the medication required in the box at reception between 8.30am and 6.30pm.

The prescription will then be available for collection 48 hours later.

Alternatively, you may make a request by post, enclosing a stamped addressed envelope, by fax, or online using the form below. The prescription will then be available for collection 48 hours later. Under no circumstances will telephone repeat requests be taken.

Welcome to our online repeat prescription service

You will need to allow two working days before your prescription is ready for collection.

Please note this is not a confidential service; the system uses email and is not encrypted. Patients use this system at their own risk.

A maximum of two months' supply will be given. Please see your doctor every six months for a review of repeat medication.

If you experience any problems with this form please let us know.

* = Indicates required information.

REPEAT PRESCRIPTION REQUEST Title: Please Choose... Mr Mrs Miss Ms Other *First Names: *Last Name: *Date of Birth (dd/mm/yyyy): Computer Number: (Your Computer Number can be found on your repeat prescription form in the TOP RIGHT CORNER) *Email Address: *Daytime Phone Number: *First Line of Address: Your Usual Doctor: Please Choose... Dr D. Ninan Dr P. P. Tun Dr S. Arora Dr G. Gopalswamy Dr H. Nawaz Please tell us the drugs you require. Please be specific and check your spelling. Please take all details from your repeat prescription record slip. Failure to complete details correctly can result in delay of your prescription. Drug Name Strength Times taken per day If you require more than 10 items, please submit another request. *Collection Point : Please Choose... The Surgery Other Information : (any comments, or additional medication) Maximum Number of Characters is 50 characters still available. 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