Register as a patient Arrange to see a doctor or a nurse Order a repeat prescription Practice services and further information


This form is for requesting repeat prescriptions only, i.e. for medicines you have had before and are running out of.

If you need different medicines or medicines for a new condition, please book an appointment to see the doctor.

Prescriptions ordered here will normally be ready for collection two working days later.

If your prescription cannot be provided, we will contact you on the email address you give below.

  Name
  Date of birth (DD/MM/YY)
  Medicines required
  I will collect from  

Prescriptions can be collected from Lloyds Pharmacy, Boots, or Clayfields (Addingham) ONLY IF you have an existing arrangement with one of them.  Otherwise you should collect your prescription from the surgery.
  Email address
   

Please fill in all the fields.


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