Please note:
– Use this form to order your repeat prescription only.
– Allow 72 hours for us to review and process your prescription request, e.g. order before 4pm today to collect after 4pm 3 days later.
– Script requests get processed during standard office hours between 9am & 5pm Monday to Friday except bank holidays.
– State the name of each drug on your repeat list and add the strength and dosage for each one.
– Ensure to complete all boxes on this form before clicking “Send”.

Enter drug name, strength and dosage separated by a comma. Use a different box for each drug.

Your reorder will be defaulted to 6 months, however actual months given will be at the clinician's discretion.

Please tick as appropriate: