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Repeat Prescriptions

By prior arrangement with the doctor repeat prescriptions can be provided. Periodically the doctor will wish to review your situation.

Requests can be made in four ways:-

1. BY POST	Enclose full details of your requirements, together with a stamped, self-addressed envelope (our addresss can be found on the Contact Information page). Please make sure that you have enough medication remaining to allow time for our processing the prescription (2 working days) and the post.
2. BY HAND	A written request can be delivered to the surgery at any time. The prescription can be collected after 2 working days.
3. BY FAX	029 2057 8870 The prescription can be collected after two working days. Alternatively, if you provide a supply of stamped, self addressed envelopes we will post the prescription to you when completed.
4. BY EMAIL	Email your requirements to: prescriptions@gp-w97047.wales.nhs.uk. The prescription can be collected after 2 working days. Alternatively, if you provide a supply of stamped, self addressed envelopes we will post the prescription to you when completed.

* - fields required

Forename: *
Middle Name:
Surname: *
Date of Birth: Format: dd/mm/yyyy *
House name/number: *
Street:
Town: *
City:
County:
Postcode: *
Telephone: *
Mobile Number:
Email: *
Repeat Email: *

Medication 1:*

Strength:

Dose:

Medication 2:

Strength:

Dose:

Medication 3:

Strength:

Dose:

Medication 4:

Strength:

Dose:

Medication 5:

Strength:

Dose:

Medication 6:

Strength:

Dose:

If you require more than 6 items please click here

Medication 7:

Strength:

Dose:

Medication 8:

Strength:

Dose:

Medication 9:

Strength:

Dose:

Medication 10:

Strength:

Dose:

Medication 11:

Strength:

Dose:

Medication 12:

Strength:

Dose:

If you require more items please click here

Additional notes:

Pick up: *

Code:

Enter the characters as seen on the image above (case insensitive):

Save my details for next visit
Please e-mail me a copy of my request

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