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Request a prescription

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Repeat prescriptions will be issued at the doctors' discretion and are normally for patients on long-term treatment. Please allow two complete working days before collection and make allowances for weekends and public holidays.

If you require an urgent / same day prescription please phone 366 3391

Patient's Name *

Date of Birth *

Contact Telephone *

Address *

Email Address *

Medication & Strength *

Medication & Strength

Pharmacy Name and Address

Pharmacy Fax Number