Tel: 01926 461800

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* Request a Repeat Prescription Online

We are happy to respond to email requests for repeat prescriptions but we will only provide prescriptions for medicines that are on your repeat prescription request form and have not been flagged for patient review.

To request a repeat prescription via email you must fill out the form below. We will not be accepting any requests unless received on the approved form.

DO NOT ATTACH requests to any email as all such requests will be returned unopened for security reasons.

If you have requested an item to which you are not entitled then we will reply to you by email asking you to contact the surgery in the normal way.

We aim to have your prescription ready for collection in 48 hours Monday to Friday.

Please Note: This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of repeat prescription request can not be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service.
 
Patients Name *  
Date of Birth *    
Address    
Contact Tel.*    
Your Doctor    
Please select where you want to collect your prescription  
* You must provide this information.    
 

     Item Description

 Quantity
       (e.g. Paracetamol) (e.g. 100)
     
Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8
   
* Not for medical problems *
   
Comments about this Prescription
 

 


 
   

 

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Warwick Gates FHC
Cressida Close
Heathcote
Warwick
CV34 6DZ


Tel: (01926) 461800
Number available at the following times:

Monday
0800 to 1210
&
1400 to 1830

Tuesday to Friday
0800 to 1235
&
1400 to 1830


At all other times please use the
Out Of Hours Service

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