Please allow at least 72 hours (3 working days), before your Prescription will be ready for collection. If you wish a local pharmacy to collect your prescription please state in the comments box which pharmacy. Please allow an extra day if you have asked for your prescription to be collected by a local pharmacy.
You must be a permanently registered patient to use this service.
Please note: For reasons of privacy this form will not store your details or medication request. There is no email acknowledgement with this service. Once you send this form a notification message will appear to indicate successful submission.