Clifton Rise Family Practice

HOW DO I....
Obtain A Repeat Prescription?

All repeat prescription requests should be made in writing (including full details of patient and medication) using the computer-generated list. Requests for repeat prescriptions cannot be taken by telephone. Repeat prescriptions usually take 48 hours (two working days) to process from the time that we receive the request. The prescription cycle is normally 56 days. We advise you to take the repeat prescription slip with you when you go to hospital, either as an inpatient or as an outpatient so that the information is available to the hospital doctors. Some local chemists can arrange prescriptions for housebound patients or patients who have problems getting to the surgery.

Do You Pay For Your Prescriptions?

You may find it more cost effective to purchase a 'season ticket' (pre-payment certificate). If you need more than five items during four months or more than 14 prescribed items during the year, you will save money by buying one. Application forms are available at the reception.

THIS FORM BELOW IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

REPEAT PRESCRIPTION REQUEST FORM
* = 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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