Repeat Prescriptions | Adamstown Medical Centre

Repeat Prescription Request

Prescriptions are typically issued during an in person consultation and a plan is put in place for repeat prescription requests. If it has been more than 6 months since you have consulted your doctor or you are taking medications that require blood-test monitoring and/or a blood pressure check, we may advise you by text or email that a consultation is necessary before your repeat prescription can be issued safely.

Please allow 72 hours for the prescription to be sent to your pharmacy.

REPEAT PRESCRIPTIONS

Written form only- reduces risk of error
Online or if preferred, dropping list in Prescription Order Box at surgery or posting in.
If a medication not on your Repeat Prescription list is requested, the Dr. may need to see you about it.
Hospital Prescriptions with Medical Card: the Pharmacy can give out a supply from the Hospital Prescription, if you present it same day. A copy of the prescription then needs to be given in here so that we can transfer it to the Medical Card prescription
Are you aware of the Medication Sick Day Guidance? This can be discussed at your appointments here, or with Pharmacy or in Outpatient Clinic/ Hospital visits.

If you are on a number of medications, please contact us for advice concerning if you become sick, even if you don’t feel you need to actually see the doctor.

First Name

Last Name

Date of Birth (dd/mm/yyyy)

Phone

Full Address

Medications (include name of medication, dose, duration)

Nominated Pharmacy

I consent to my prescription being sent digitally sent from the practice to my chosen pharmacy.

I acknowledge that it takes up to 72 hours (excluding weekends) to process repeat prescription requests.

I consent to this message being sent electronically to the practice. I have checked that the email address and phone number supplied are correct and consent to receiving medical information via email or text.

By submitting this form you will be sending personal/sensitive information about yourself across the Internet. Please read our privacy statement to discover how we protect and manage your submitted data. Whilst every effort is made to keep this information secure, you should be aware that we cannot offer any guarantees of absolute privacy. If this matter concerns you then you should use another method of contacting the practice.

Repeat Prescription Request

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For Life Threatening Emergencies - Call 999 or 112