Use the TAB button on your keyboard, or use
your mouse to the next box. Please do NOT hit Enter
on your keyboard. If you do this, you will be told
you have not filled in the form correctly and asked
to do it again.
3.
You must be a registered patient to use this
service. If you are not registered, your request
will be ignored. You can only request a prescription
from the surgery whom you are registered with.
4.
If you need to change your collection point, please
do so on the 'Change Collection Point' page. This
change will NOT be instant and your prescription
will be sent to your usual collection point for this
request.
5.
You must accept the Terms & Conditions of this
service by ticking the checkbox at the bottom of the
form. You will not be able to use this form without
accepting the Terms & Conditions of Service
Your Medication
Drug Name
Drug Strength
Collection Point
Comments
Note:
Please do not use this comments box
for medical queries.
If you have a medical query, please contact the
surgery to book
a telephone consultation with your GP.
