Sullane Family Practice

Sullane Family Practice Prescription Renewal Form

Please fill in form below – please note 48 hours notice for repeat prescriptions. Any changes need to be discussed with the GP – please contact the surgery to make an appointment.

Prescription Renewal Form:
You may request up to twenty five separate items. Enter each drug and strength on your prescription. Please note that items will only be dispensed if they are included on your repeat prescription and a medication review is not pending.


PLEASE NOTE:
Your prescription will be ready for collection at reception. Please allow a minimum of 48 hours before collection. Please note prescriptions ordered on a Friday will only be available for collection from the following Tuesday.

Drug Name
Strength eg. 5mg
Qty eg. 1 daily
1.
2.
3.
4.
5.
6.
7.
Add More
Submit

 

Any questions please feel free to conact us

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