Repeat Prescription Request

Use this service to request a repeat prescription.

Allow 7 working days before collecting your prescription.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Title
Date of Birth
Address
Email Address

Enter each medication and strength on your prescription

Medication
Medication
Strength
Dose