HOW DO I....
Obtain A Repeat Prescription?

These can only be obtained when authorised by your doctor. Please give at least 24 hours’ notice. All patients having repeat prescriptions will be required to see their doctor at regular intervals. They can only be obtained in the following ways:

• By post - a stamped, addressed envelope must be included if you want the prescription returned to you by post.
Personally - by placing your request in the box provided in the waiting area.
• By fax - 0844 815 1857.
• By Email - administrator@newdispensarysurgery.nhs.uk (using the form below).

They can no longer be requested by telephone.

Online Repeat Prescriptions

Please complete the form below to email your repeat prescription to the surgery:

Please note: * = REQUIRED FIELDS First Names: * Last Name: * Date of Birth: DD 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / MM 01 02 03 04 05 06 07 08 09 10 11 12 / YYYY 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 * Patient No: Email Address: * Phone Number: Home Work Mobile Your Usual Doctor: Please Choose... Dr Stephen G Clarkson Dr Jacqueline A Hatton Dr Marguerite Curley Dr Nilesh Vara Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip. If you wish to view an image of how this form relates to your repeat prescription print out please click here. * Please Note: If you require more than 10 items, please submit another request. Collection Point : Please Choose... Surgery - 48 hours * Please note: Remember to allow extra time if collecting from a chemist. Comments: Any comments that you may have about this service, or additional medication. Please note: Do NOT ask for medical advice via this form. CONFIDENTIALITY - TERMS AND CONDITIONS: The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions. This services is NOT to be used to request advice or assistance on any other matter. I accept the terms and conditions above*