For medications that are not on your repeat list provided by the surgery, please put in a request by completing and delivering the form to the surgery. There are forms in the lobby of the surgery, along with a box for you to place your form in. Please complete the form fully giving as much detail as possible eg. name of medication, dose instructions, reason etc. If you have any questions please contact a member of our Patient Services Team.

Medication Request/Query Form - For items not on repeat list

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