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Synchronising Prescriptions form

If you would like to save time and order all the medication you have on repeat at the same time rather than irregular times throughout the month please use the form below.

When you next need to request an item on repeat count up all the tablets you have and fill in the form. Your doctor will issue a “one off” prescription of the tablets you need to synchronise all your medication to within a day or two.

Synchronising Prescriptions form
Please use format day/month/year e.g. 12/05/1979
Please include postcode

Medication Required

I confirm

Please note that the details you give will be used to update your medical records.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.