Repeat Prescription Form

 
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All questions marked with a * are mandatory

Your Personal Details
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How Would You Like To Send Your Request?: *
Manual Input

Prescription Items

  • Copy exactly the details from a prescription slip you have received from the practice.

Please note

  • Items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.
Upload Photo

Prescription Items

  • You can upload a document, photo or scan 

Please note

  • Items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
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Care Quality Commission
Overall Rating: Good

Claughton Medical Centre
161 Park Road North
Claughton, Birkenhead
Wirral, CH41 0DD

Telephone: 0151 652 1688

Fender Way Medical Centre
Prenton, Wirral
Merseyside, CH43 9QS

Telephone: 0151 652 1688

Townfield Health Centre
Townfield Close
Birkenhead, Prenton
CH43 9JW

Telephone: 0151 652 1688

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