Online Repeat Prescriptions

MEDICATION REVIEWS

Our GPs need to carry out medication reviews on an annual basis.

When the time arrives for this to be done, it does take slightly longer to process your prescription request as the doctor needs to look at all your medication before it is issued by reception staff and then it has to go back to the doctor for signing.

Please wait two working days before collecting your prescription to allow us sufficient time to process your request. Your help in this matter is greatly appreciated.

The Albany Practice
Brentford Health Centre
Boston Manor Road
Brentford
Middlesex TW8 8DS

Tel: 020 8630 3838
Fax: 020 8630 3814

Online Repeat Prescriptions

Please note this is not a secure form. The information sent by using this form is not encrypted and is no more secure than normal email. Complete confidentiality for this type of repeat prescription request cannot be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service. Please allow us 2 working days to process your request.
Patients Name*
Date of Birth*
Address
Contact Tel.*
Your Doctor

* You must provide this information.
	Item Description	Strength
	(e.g. Paracetamol)	(e.g. 500mg)

Item 1
Item 2
Item 3
Item 4
Item 5
Item 6
Item 7
Item 8


	Please type the blue word in lower case letters into the box below.


	* Not for medical problems *
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