This service is gradually being phased out and being replaced by EMIS Access. Please start to use EMIS Access if you have recieved an invitation to join.

Please Note: EMIS Access is not available for branch surgeries yet.

You will need to allow one working day before you can collect your prescription from the surgery or two working days for collection from the chemist.

Requests for posted prescriptions.

Please note we do not routinely post prescriptions direct to patients.  If you wish us to post you your prescription direct you will need to send in a written request enclosing a stamped addressed envelope. You cannot request this service over the internet or by fax

Please note this is not a confidential service, the system uses email and is not encrypted. Patients use this system at their own risk.

If you experience any problems with this form please let us know.

REPEAT PRESCRIPTION REQUEST * = Indicates required information. Title: Please Choose... Mr Mrs Miss Ms Other *First Names: *Last Name: *Date of Birth (dd/mm/yyyy): *Computer Number: (Your Computer Number can be found on your repeat prescription form in the TOP RIGHT CORNER) *Email Address: *Daytime Phone Number: *First Line of Address: Your Usual Doctor: Please Choose... Dr I Simpson Dr C J Goldie Dr R Sethi Dr G McInerney Dr A Nichol Dr N Thurston Dr P A Reynolds Can't Remember Please tell us the drugs you require. Please be specific and check your spelling. Please take all details from your repeat prescription record slip. Failure to complete details correctly can result in delay of your prescription. Drug Name Strength Quantity If you require more than 10 items, please submit another request. *Collection Point : Please Choose... Surgery - 1 Working Day Chesterton - 2 Working Days Hortons - 2 Working Days Laurels (South Cerney) - 2 Working Days Boots - 2 Working Days Lloyds - 2 Working Days Forum - 2 Working Days Kemble Surgery - 2 Working Days Tesco ( 2 working days) Other Information : (any comments, 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

An automatic reply will be sent to confirm your repeat prescription request.

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