Dr de Sousa and Partners

How Do I....
Obtain A Repeat Prescription?

Requests must be in writing, please. If you would like your new prescription posted to you, please enclose a stamped addressed envelope with your request. You can also send your requests by fax (01932 859851) or via this website (to register for this please enquire at reception), but we CANNOT accept requests over the phone.

Make sure you allow sufficient time for the prescription to be prepared; this can take two working days from when we receive your requests.

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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