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Complete the form below to order your Repeat Prescriptions via the internet.

Click the Send Prescription Request button below when complete.


Your Contact Details:
First name:

Surname:
Date of birth:
House No & Street:
Town:
Postcode:
Tel No:
Daytime Tel:
E-mail address:
Comments

Please ensure you order by the medication name on your repeat slip where possible.
Medicine(s) Required:
      Drug Name Strength
Amount taken per day
  1.

  2.
  3.
  4.
  5.
  6.
  7.
  8.
  9.
10.
11.
12.

I wish to collect my prescription from:


Now click Send button below to complete the process.
 
Please ensure you have read the Disclaimer

I understand that email is not confidential and can be accessed by unauthorised parties.  I am prepared to take this risk on my responsibility.
I accept that if the email system fails to deliver in time that my prescription may not be ready or delivered appropriately.
I accept that use of the Internet is not entirely reliable due to computer and server problems beyond the control of College Surgery Partnership.
If medication / dosage / strength is incorrect then this may cause a delay or may even result in my request being rejected.
Website Repeat Prescription requests will be checked at 8am every morning and anything received after this time will be carried over into the next business day. They will then be ready 48hrs after receipt.
I accept that this form of communication is my choice and I accept that College Surgery Partnership cannot be held responsible for any delays due to these problems although they will do their best to help.
Full cooperation will be required from all parties in the event of internet/computer problems. We thank you in advance for your understanding and forebearance.

 

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