Redbank Surgery

HOW DO I....
Obtain Repeat Prescriptions?

TEL: 01234 567890
Fax: 01234 567890

Repeat prescriptions will be issued at the doctor’s discretion and are normally for patients on long term treatment.

Requests for prescriptions can be made by telephone, in writing or by calling at the surgery from 8.30am to 12.30pm and 2.00 to 5.30pm Monday to Friday. We are unable to take orders or issue repeat prescriptions at weekends, public holidays or out of normal surgery hours. Please allow two complete working days before collection and make allowances for weekends and public holidays. Where possible give exact drug names when ordering.

Or you can also order through the internet, inserting your details below.

Security note: Electronic transmissions on the Internet are not always secure and theoretically it is possible for the details emailed from this form to be intercepted by a third party. If you have any concerns, we advise you to visit the surgery and present your details in person.

Repeat Prescription Request Form

	* = Required field
First Names: *
Last Name: *
Date of Birth (dd/mm/yyyy): *
Email Address: *
Phone Number:		Home Work Mobile
Your Usual Doctor:	Please Choose... Dr Gillian Elder Dr Julia James Dr David Raymond Dr Simon Read
Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip.

Medication You Require

Drug Name* Strength If you require more than 10 items, please submit another request.

Collection Point

Collection Point :

Please Choose... Surgery - 48 hours Smiths Pharmacy Catkins Chemist *

Comments

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 this data is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I can't see a padlock - is this secure?

Click 'Submit' to send your request to the surgery.