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On-line repeat prescription request Click to go to A - Z Index


On-line repeat prescriptions
  • Repeat prescriptions will be available for collection at the surgery after two working days following your order.
  • Patients should complete a consent form at the appropriate pharmacy before they can obtain their medication at their chosen destination.
Disclaimer
PLEASE READ
  • To use this system, you will have to enter information about yourself that will be sent to us across the internet.
  • This e-form information is not encrypted, but will be no less secure than a normal email.
  • We can not guarantee that this information will not be seen by others.
Your personal details
Your Doctor
Patient Number
(if known)
Full name Enter Name
Address Enter Address
Post Code Enter Postcode
Date of Birth Enter DOB
 
Other contact details
E-mail Address Enter EmailInvalid format
Home telephone no. Enter Telephone
Other / Mobile

 

 
Prescription requests
Item 1 Strength Qty
Item 2 Strength Qty
Item 3 Strength Qty
Item 4 Strength Qty
Item 5 Strength Qty
Item 6 Strength Qty
Item 7 Strength Qty
Item 8 Strength Qty
 
Additional information

 

 
Collection point
Your prescription will be available for collection from the surgery or your medication will be available from the pharmacy if you have made an arrangement with them.
Acceptance
Please confirm your acceptance of Wellington Medical Centre's terms & conditions for online repeat prescription requests by inserting your name in the box below.

Accepted by

Enter Name

  Your Full Name is missing
Your Address is missing

Your Postcode is missing

Your Date of Birth is missing

Your Email Address is missing

Your Email Address format is invalid

Your Home Telephone is missing

Your 'Accepted By' name is missing
        
We recommend you print off and keep a copy of the repeat prescription order which pops up after the submit button is pressed

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