Home | Disclaimer | Website Accessibility | Contact Us
 
 
 
 
*   *
 
  QUICK LINKS
Contact Us
Online Prescriptions
Change of Address
Tests & Results
Latest News
 
*   *

*   *
 
  MAIN MENU
Home
About Us
Practice Team
Attached Team
New Patients
Appointments
Home Visits
Out of Hours
Repeat Prescriptions
Clinics & Services
Specialised Services
Medical Records
Patient Charter
Zero Tolerance
Freedom of Information
Health Links
Comments/Complaints
How to Help Us
 
*   *
 
Link to NHS Direct website Tel:
0845 4647
 		   Order a Repeat Prescription Via Our Online Form

 
Disclaimer: This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of repeat prescription request can not be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service.

 
Patients Name *  
Date of Birth *    
Address    
Contact Tel.*    
Email Address    
Collection  
* You must provide this information.
The items requested below MUST be on your regular repeat medication list. 		   
 

     Item Description

Dose

  Quantity
       (e.g. Paracetamol) (e.g. 500mg) (e.g. 100)
       
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
       

* Please type in the green word in lower case into the box below (in order to help us reduce spam email)

 

    
   
* Not for medical problems *		    
Comments about this Prescription

 

                          

 
Home | Disclaimer | Website Accessibility | Contact Us

Information on this website is for registered patients only and should not be used as a
substitute for seeking advice from a GP
Copyright 2007-2012 St Peters Surgery     Website Design Internet-GP
 
  *