Rutland Lodge Medical

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

Fill in the white side of your prescription or write us a note telling us what you want (we are not allowed to take requests over the phone).
Please give us at least 48 hours’ notice.
Remember to order enough medication to last over a bank holiday, or when you are on holiday.
Be responsible for managing your own medication - do not leave requests for repeat prescriptions until you have run out of tablets.
You can ask your pharmacist to order, collect and deliver your prescription. If you wish to have your prescription posted to you enclose a stamped self-addressed envelope with your request.

THIS FORM BELOW IS CURRENTLY DISABLED - PLEASE USE ONE OF THE ALTERNATIVE METHODS MENTIONED ABOVE TO REQUEST PRESCRIPTIONS.

REPEAT PRESCRIPTION REQUEST FORM * = Required field First Names: * Last Name: * Date of Birth (dd/mm/yyyy): * Email Address: * Phone Number:   Home Work Mobile Your Usual Doctor: Please Choose... Dr....... Dr....... Dr....... Dr....... Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip. Drug Name Strength * If you require more than 10 items, please submit another request. Collection Point : Please Choose... Surgery - 48 hours * Comments: (any comments that you may have about this service, or additional medication) 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. I accept the terms and conditions above*