Home Repeat Prescriptions

Repeat Prescriptions

Patients requiring long term repeat prescriptions are asked to attend their doctor for review on a regular basis.

To order your long term Repeat Prescription:

Click on the Repeat Prescription button, fill it in and click send.
This enables you to enter your medications and the form is sent directly to us.
You will need to give us your preferred Pharmacy details and we will send your completed repeat script to the pharmacy electronically.

Please note that all repeat prescription requests take up to 7 working days to process. There will be be a charge for this service (GMS Patients exempt).

Repeat Prescriptions Form

General information

Full Name*

Date of birth*

Email Address*

Telephone number*

Medical Card (if applicable)

I have a Medical Card / Doctor visit card

Home address*

Please use the address your clinic has on file

Name and address of your preferred pharmacy

Allergies (if any)

I consent to and wish to avail of electronic prescriptions which means my prescription can be digitally sent from my GP to my chosen pharmacy.

Medication

Medication Name*

Dosage

Quantity/Dose

Freq. taken/day

Supply

Repeat Prescriptions

To order your long term Repeat Prescription:

Repeat Prescriptions Form

General information

Medication

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