Church Langley Medical Practice

Repeat Prescriptions


How D0 I....
Obtain A Repeat Prescription?

If you are on regular medication, a request for a repeat prescription can be made by bringing your repeat slip to the surgery or sending a written request. Please allow 48 hours for prescriptions that are to be collected from the surgery or 72 hours for collection from the chemist. Please enclose a stamped addressed envelope if you would like your prescription sent to you. Several local pharmacies work with the practice in offering a free delivery service of repeat prescriptions to your home or workplace.

You will normally be required to see the nurse every six months if you are on regular medication.

You can request a repeat prescription via the form below but please note this is not a secure medium.

Online Repeat Prescriptions

Please complete the online prescriptions form below to email your repeat prescription directly to the surgery.

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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