Parkers Row Family Practice

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

Repeat prescriptions will be issued at the doctor’s discretion and are normally for patients on long term treatment. Request prescriptions must be made in writing. We are unable to take orders or issue prescriptions over the telephone unless you are housebound and it has been agreed with the GP. We are unable to process requests made at weekends, public holidays or out of normal surgery hours.

Please allow two working days before collection and make allowances for weekends and public holidays. Where possible give exact drug names when ordering.

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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Jamaica Road Pharmacy