Repeats On Line

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On-line Repeat Prescriptions

Before entering your prescription details below you must first read this disclaimer . At present data transferred in this manner is only as secure as a standard e-mail.

If possible information should be copied directly from your repeat tear off slip.

Do not ask for medication that is not on your repeat form.

We must be absolutely clear what repeat you require and if there is any confusion at our end we will contact you to clarify the request.

First Name:
Surname:
Address:
Post Code:
Telephone:
E-mail (if appropriate):
Date of birth dd/mm/yyyy:		For all patients having to collect from Boots, Lloyd's or Rowlands please allow 3 full working days. Please allow 2 full working days when collecting from the practice.
Collection:

Medicine	Strength
1
2
3
4
5
6
7
8
9

Comments: Enter any other requests or comments below

Click Submit to send your request to Wallingford Medical Practice Repeat prescription system

Coming next is a confirmation form where you can check your request .

Tick this box if it is a corrected request