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Order Repeat Prescriptions

Prescriptions ordered on-line will still take 2 full working days for the surgery to process.
We take confidentiality seriously. Please be aware that this system works by sending an e-mail to the surgery.   We cannot guarantee that this will be completely secure. We would ask you not to use this service if this would concern you.

This form is only for repeat prescription requests.   Do not use this form for clinical matters.

PLEASE COMPLETE ALL SECTIONS OR THE FORM WILL BE REJECTED.

Your full name
Your date of birth
Your address
Contact telephone number
Your e-mail address
Your usual doctor Dr. Jonathan Sadler
Dr. Mark Howcutt
Dr. Nicola Hutcheson
Dr. Karen West
Dr. Kaye Smith
Dr. Amanda Stubbs
Dr. Andrew Silverman
Prescriptions required
Medicine, dosage and quantity
Collection Collect from surgery reception
(two full working days from your request to collection at surgery)
Send to Vicary's pharmacy
(three full working days from your request to collection at pharmacy)
After submitting this form, you will receive a brief e-mail confirming the process has been successful.