|
|
|
|

|
Repeat
Prescription Request
| |
| |
| PERSONAL
DETAILS |
PRESCRIPTION
DETAILS |
|
|
| |
| Add any further details below... |
|
|
| |
Prescription
Security PLEASE NOTE this is NOT a
secure form. This form is sent to us via computers that do not belong to the NHS
in a non-encrypted format. Complete confidentiality for this type of repeat
prescription request can not be guaranteed. You can use your computer number
(found on your prescription slip) and your initials if you wish to increase the
level of confidentiality. Otherwise please feel free to use our normal repeat
prescription service. |
|