Acute Medication Prescription Request

Please do not use this form to submit medication queries or appointment requests.

This form is for repeat medication not showing in your NHS account (e.g. NHS App or Patient Access)

It is best to order your repeat medication when you have approximately two weeks’ worth of your medication left. Please do not order earlier than this as your request is likely to be rejected.

Please allow four working days from the day you make your request, and the day you will run out of medication. This allows sufficient time for the processing of your prescription with us and your pharmacy.

Quick reminder: our opening hours are Monday to Friday, 8am to 6.30pm excluding bank holidays.

Order Medication

Date of Birth
Email Address

Enter each medication and strength on your prescription

Medication Required
Medication
Strength
Dose