Repeat Prescription Order Form

If you would like to order repeat prescriptions by e-mail you can use this form. Prescriptions will normally be issued within 24 hours provided they have been previously agreed with the doctor. Please ensure that you enter at least your surname, first name and date of birth so we can identify you. You can save this form onto your computer, fill it in off line and then click the submit button when you are ready to send it.

This request will be sent by e-mail. It is not secure or encrypted so if you want it to be entirely confidential use the phone or call in person as usual.