Order a Repeat Prescription via email

There is now an easier way to order a repeat prescription. If you register for our Online Services you will find a list of all your repeat medication and you can simply click on the items you wish to order.

It is not possible for us to guarantee the security of information sent over the internet. It would be theoretically possible for a third party to intercept and read prescription requests sent from this site. If this is of concern to you we would suggest ordering your medication over the phone or in person.

Please complete the form with all your details.
(* Denotes required fields).

* Full Name:

* Telephone:

* E-mail:

* Address:

Usual GP
(if known):

* Date of Birth:

* Medication 1:

Drug: Strength:

Medication 2:

Drug: Strength:

Medication 3:

Drug: Strength:

Medication 4:

Drug: Strength:

Medication 5:

Drug: Strength:

Medication 6:

Drug: Strength:

Medication 7:

Drug: Strength: