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Home > Prescriptions: Request acute medication

Prescriptions: Request acute medication

Please note that urgent temporary issues of a prescription can be obtained from your local pharmacy.

Please outline below what acute prescription you require e.g. inhalers, creams etc.

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.
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Prescriptions: Request acute medication
Please note if you are requesting an inhaler you must have either been prescribed it before or have a diagnosis of asthma. If not regarding an inhaler leave this question blank

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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.


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Whitnash Medical Centre

110 Coppice Road , Whitnash, Warwickshire, CV31 2LT

  • 01926 316711
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