Cheltenham Road Surgery

HOW DO I....
Obtain A Repeat Prescription?

If you are on long-term medication, repeat prescriptions will be issued at your doctor's discretion without needing an appointment. Please deliver your computerised treatment list by hand with the items required ticked or send it to the surgery by post together with a stamped, addressed envelope. Alternatively, you can order your prescriptions on line by completing the form below.

Please allow two working days for your prescription to be ready.
Prescriptions can be collected after 2pm.
Please do not ask your doctor for a repeat prescription during an appointment. This helps our surgeries to run to time.
Please make use of the new repeat prescribing arrangements that can be set up with your chemist.

DUTY CHEMIST

To find out which chemist is on duty at weekends or bank holidays, check at the surgery, your local newspaper, in the window of your local chemist, or telephone Local Radio Action Desk on 01452 313233.

REPEAT PRESCRIPTION REQUEST FORM

* = 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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Cheltenham Road Surgery

HOW DO I.... Obtain A Repeat Prescription?

DUTY CHEMIST

HOW DO I....
Obtain A Repeat Prescription?