Prescription Synchronisation

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.

Are you completing this form on behalf of:

About You

Name
The one used to register with your GP.
DD slash MM slash YYYY
Your date of birth is required to verify your identity.
Sex:
As on your medical record.
The practice may use this number to contact you about your request.
This email address can be used to contact you about your request. Please be aware that if you have given anyone else access to your email account they may see responses sent to you.