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Ramsay Health Care - Euxton Hall Private Hospital - Chorley




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HOW DO I...
Obtain A Repeat Prescription?

If you are receiving regular treatment the doctor may agree to let you have a prescription without seeing you.

You can request a repeat prescription by:-

1) Calling in person and dropping your repeat prescription slip in the box at reception.Writing and enclosing a stamped addressed envelope. Telephoning 01772 626737 Monday to Friday between 9.00am - 12 noon.

2) By fax on 01772 492248.

Please quote your Patient Number.

Requests made before 12 noon will be ready for collection after 4.00pm the next working day (requests made on a Wednesday will be ready for collection after 4.00pm on Friday).

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This Repeat Prescriptions Form is currently inactive,
Please follow the instructions above and we apologies for any inconvenience caused

REPEAT PRESCRIPTION REQUEST
First Names:
Last Name:
Date of Birth
(dd/mm/yyyy):
Email Address:
Phone Number:
 
Your Usual Doctor:
Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip.
Drug Name
Strength
If you require more than 10 items, please submit another request.

Collection Point :
Comments:
(any comments that you may have about this service, or additional medication)
CONFIDENTIALITY - TERMS AND CONDITIONS:
The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I accept the terms and conditions above

 

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