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Problems with Online Prescriptions?
It has come to our notice that a number of patients are experiencing difficulties when using our online prescription ordering service. Patients have informed us that, when filling out the online form, using the Enter key to move between fields has resulted in their application being submitted before they have necessarily finished it. Unfortunately there is no way to disable the Enter key as this is the way the form knows to submit content and to send its information. If you use the Tab key to move between fields, this problem will not occur.
We apologise for any inconvenience this may have caused.

 
 
 
 

Please Note: This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of repeat prescription request can not be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service.
 

Patients Name *  
Date of Birth *    
Address    
Contact Tel.*    
Your Doctor    
* You must provide this information.
The items requested below MUST be on your regular repeat medication list.
   
 

     Item Description

 Quantity
       (e.g. Paracetamol) (e.g. 100)
     
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
   
* Not for medical problems *
   
Comments about this Prescription

 
     

*Please type the red word in lower case letters into the box below to help us reduce spam email.

 
 

 

 

                          


Please allow 2 full working days for us to process your request.
 


 
 
 
 

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