The Village Surgery

How Do I....
Obtain A Repeat Prescription?

Repeat prescriptions may be obtained by completing one of the slips provided, by returning the computer print-out, where one has been issued, or by writing a note to reception. Because so many drug names sound the same, we do not allow our staff to take repeat prescription requests over the telephone as this could lead to mistakes. Please leave two working days for your prescription to be prepared.

REPEAT PRESCRIPTION REQUEST FORM
* = Required field
First Names:
*
Last Name:
*
Date of Birth
(dd/mm/yyyy):
*
Email Address:
*
Phone Number:
 
Usual GP:
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

Frequency of Use

Amount

*
If you require more than 10 items, please submit another request.

Send request to:
*

Comments:
(Any comments that you may have about this service or your prescription)
.

If you wish to pick your prescription up from a local pharmacy, please specify which pharmacy here.


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*



You may also email your prescription requests to:
village.harpenden@herts-pcts.nhs.uk
village.wheat@herts-pcts.nhs.uk


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