Tams Brig Surgery illustration

Tam’s Brig Surgery

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Repeat Prescription Request Form

You can use this simple form to request repeat medication without the need to log in. This form does not retain your medication list. To be able to access your repeat medication list directly from your Patient Record you should Register for Patient Access.

Repeat Prescription Request
Enter Email
Confirm Email
Please use format day/month/year e.g. 12/05/1979

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice.

Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.

Please Note: Special requests may not be authorised by the Doctor.

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.