Repeat Prescriptions

You can order your repeat prescriptions online using the form below.You must be registered with the Practice before we can accept your request. For further information please refer to our Repeat Prescriptions Policy.

Your personal information provided will be solely used to process your medication request. It will not be passed to any third party, without your consent, unless required by law. This conforms to the Data Protection Act of 1998.

Your details Your full name

Date of birth (dd/mm/yyyy)

Email address

Telephone number

Your prescription details

Please tell us the drugs you require. Be specific and check your spelling. Take all the details from the right hand side of your repeat prescription request form. If you require more than 10 items please complete and submit another request form.

Please complete the boxes below with the drug name and strength of the drugs your require repeat prescriptions for.

e.g. Loratadine 10 mg

Drug 1

Drug 2

Drug 3

Drug 4

Drug 5

Drug 6

Drug 7

Drug 8

Drug 9

Drug 10

Special medication request

Collection Point How would you like to collect your prescription? Please choose an option from the pop-up list.
PLEASE NOTE: Prescriptions can take up to 48 hours to process.

Terms and conditions

The internet is not secure and the transmission of data to request medication is enirely 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.

YOU REQUIRE

REGISTER WITH US

HEALTH INFORMATION

GENERAL INFORMATION

Repeat Prescriptions

Radnor Street Surgery