Prescription Ordering Without Registration Service

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Choose this option if you do not want to register online with us but want us to organize the prescription for you and have your medication ready for you to collect or have it delivered to you.

Repeat Prescription Ordering

Patient’s Name

Patient’s Address

Email Address

Telephone no.

Doctors Surgery

If ’Other’ Please state

Repeat Medication to Order

Please select your delivery mode

I would pick it up

Please deliver to my home

Please post it to me