ST LUKE'S MEDICAL CENTRE
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How Do I....
Obtain A Repeat Prescription?

If you are taking regular medication you may be given a repeat prescription. There are a number of ways you may order the items you need:

  • Post the tear-off slip or simply drop it into the surgery. If you provide a stamped addressed envelope we will post it back to you.
  • Fax your requirements to 01622 688676.

Please give the practice a minimum of two full days prior to collecting. If you want us to direct your prescription to a particular pharmacy, please indicate which pharmacy by circling one of the following choices on your form:

  • Boots (King Street or Fremlins Walk)
  • Central Pharmacy
  • Lloyds (Grove Green)
  • Paydens
  • Links

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

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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