Prescriptions: New patient medication request
Please complete this form if you are a new patient at the practice and would like to request your repeat medications.
Depending on what clinical system your previous practice used we may need to see evidence of your medication prescription. This could be a recent (in last 2 months) prescription slip or a letter from your GP/Consultant.+
Please note that URGENT temporary issues of a prescription can be obtained from your local pharmacy.
If you are taking any immunosuppressant medication or other medication prescribed to you by a specialist or a private provider, please be aware that Local Prescribing Guidelines and policies may mean that your GP Surgery cannot prescribe these medications
Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 316711. We will start to process your form by the next working day but it will take up to 3 working days to complete. Please DO NOT call before 3 working days as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.
Prescriptions: New patient medication request
Privacy Protection
Information submitted through secure forms is used only for the purposes of processing your request. We may
be in touch with you in relation to the information submitted.
All Information submitted through secure forms is secured with a private key and is accessed over a secure
connection by nominated staff. We have a strict confidentiality policy.
This information is not shared with any third party organisations.
This information is retained for up to 28 days.
Learn more about our Privacy Policy and
Terms of Use.
Should you have any concerns about sending your personal details using the web,
please use one of the alternative methods offered by our organisation.