Tel: 01235 763 451

Repeat Prescription request

Patients may request their standard repeat prescription drugs now by email. Please read the following information before filling in the form at the foot of this page.

It is important that we can identify the patient requesting their medication and what you require. We would therefore we request that you provide the information as outlined in the fields below.

In the case of multiple requests, this information must be included for each patient requesting medication.

Patients should not use this means to discuss any other clinical matters.

If any of this information is missing an email will be sent in reply explaining this.

48 hrs should still be allowed for turn-around time.

If an item is not for repeat or the doctor wishes to review the patient, an email can be sent to advise the patient of this.

  • Full name
  • A valid email address
  • A contact telephone number
  • Prescription reference number This can be found in the top left hand corner of the repeat side of your current prescription, marked 'Confidential ref:'
  • Name of the drug, as written on the repeat slip. (RHS of script)
  • Chemist, where they wish to collect the script from.

To register a repeat presription at Newbury Street Practice, fill in the form below or contact our staff by telephone for details Click here.

Repeat Prescriptions Form

Fields highlighted are required.

Full Name
Date Of Birth
Email Address
Telephone Number
Reference Number
Description Strength
Description Strength
Description Strength
Description Strength
Description Strength
Description Strength
Description Strength
Description Strength
Comments and Questions
Preferred Chemists for Collection
Please enter the answer to 4 + 4 =