Paston Health Centre & Werrington Health Centre

How Do I....
Obtain A Repeat Prescription?

Please give 24 hours' notice, either by telephone after 10.30am Monday - Friday or by posting your request slip. Your prescription will be available from Reception or by post if a stamped self-addressed envelope is provided.


THIS FORM IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

Please refer to the information above for prescription requests.

REPEAT PRESCRIPTION REQUEST
* = Required field
First Names:
*
Last Name:
*
Date of Birth
(dd/mm/yyyy):
*
Email Address:
*
Phone Number:
 
Your Usual Doctor:
Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip.
Drug Name
Strength
*
If you require more than 10 items, please submit another request.
Collection Point :
*
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 data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I accept the terms and conditions above*






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