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 post through our letterbox or close the form, save it onto your computer and attach it to an email addressed to - (copy & paste address)

Please allow ** 4 WORKING DAYS ** from receipt, excluding weekends and Bank Holidays, for your request to be processed.

Any problems please telephone the Dispensary from 11am on 01786 870799.

Special Request Prescription Form


Prescriptions can be collected -

Medications must be collected from

the side window of Kippen Surgery


11am to 1pm and 3pm to 6pm

Monday, Tuesday, Thursday & Friday

NHS ScotlandThis site is brought to you by My Surgery Website