Order Repeat Medication

You can use the form below to request any repeat prescriptions from the practice.

Please allow 2 working days for your request to be processed and the prescription to be sent to your chosen pharmacy.

Non-urgent advice: Did you know?

You can use the free NHS App to order repeat prescriptions, book appointments, get instant medical advice and more, all without visiting the surgery.

Click or tap the image to learn more about using the NHS App.

Name

First Name(s) Last Name

Date of Birth

Address

Address Line 1 Postcode

How would you like us to contact you if there is a problem?

Telephone (including SMS)

Email Address

Contact Number

Which medication(s) would you like to order?

Medication

Strength

Dose

Enter each medication and strength/dosage as it appears on your prescription. Add more using the ‘plus’ icon.

Which pharmacy would you like this to go to?

Additional Notes Optional

Comments Optional

This field is for validation purposes and should be left unchanged.