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Acute Prescriptions / Special Requests

If you have items that are not on our repeat system, or a special one off request then please fill in this specific request form.  Once complete, either print and hand in to the Surgery or close the form, save it onto your computer and attach it to an email addressed to - (copy & paste address)

Please allow 48 hours from receipt, excluding weekends and Bank Holidays, for your request to be processed.

Any problems please telephone the surgery.

Special Request Prescription Form


Prescriptions can be collected -

Monday, Tuesday, Thursday and Friday

11.00 am - 1.00 pm    and     2.00 pm - 6.00 pm


11.00 am - 12 noon

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