Whinpark Medical Centre

HOW DO I....
OBTAIN A REPEAT PRESCRIPTION?

If you are on long-term medication your prescription may have a list of your medications on the right hand side. You may use the tick boxes to re-order your medication by handing the list to one of the local chemists or to Whinpark. If you are cleared to order direct, please complete the form below. We cannot accept prescription requests by telephone. Please allow 48 hours for us to process your request. Allow an extra day if you have asked for your prescription to be collected by a local pharmacy.

REPEAT PRESCRIPTION REQUEST
* = 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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