Repeat Prescription Request

This form does not store your information and therefore you must enter only the medication details you require for each order.

Please allow at least FIVE days from ordering your medicine to collection from the Community Pharmacy.

Online Repeat Prescription Request Form

Repeat Prescription Request
Which Practice are you registered with? *

It is easier and quicker to request repeat prescriptions via our online service Patient Access. Once registered simply log in and select an option. You need an activation code from the surgery to register with Patient Access and you will receive instructions along with your next medication with instructions on how to register.

From 16th August 2021 when a patient is ordering a prescription online they will receive instructions to register with patient access along with their medication.