St. Luke's Medical Centre

An NHS practice working with anthroposophic medicine

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Prescriptions

Repeat prescriptions requests should be made in writing and can be sent to us in a number of ways as detailed below.

If you have received a computer printed prescription for medication you are taking regularly, it  should have been given to you with a repeat order form attached. Please tick the items you need and where you would like to collect the prescription from, and send it to the Stroud surgery.

You can also use our Prescription Request Form, which is available at the surgery, or you can download it here. This can then be posted to the Stroud surgery,  faxed to 01453 756573. We now also accept request forms by  e-mail. Send  to prescriptions@stlukesmedicalcentre.org

New

You may now request your repeat prescription online by filling out the form below:

 

Repeat Prescription Request Form

Please complete as fully as possible. Missing information may mean a delay in your prescription being issued

 Title            Forename                         Surname                             Date of Birth

                              

                                                                                                           

Medication Details                                                        Strength            Quantity

       

       

       

       

       

       

 

Comments:

If you are requesting a different medication or amount from your usual prescription (because you are going on holiday, for example) or have any other relevant information, please tell us about it here:

Please select where you would like to collect the prescription from:

    I will collect from the Stroud surgery

    I will collect from the Tuffley surgery

    Please send to Superdrug, Stroud High Street

    Please send to Lloyds Pharmacy, Holmleigh Parade

    Please send to County Pharmacy, Cainscross

Please note that while this online form provides a quick method of sending us a request, it does not increase the speed at which we are able to issue your prescription. Requests received before 11.00 am will be ready 2 working days for your prescription to be ready. This does not include postage time if the prescription is to be collected somewhere other than the Stroud surgery. Please note that requests may take longer if we need to contact you about your request.

Please be aware that transmitting this information is not secure.  By completing this form you accept the risk that this information  could be obtained and used by an un-authorised party.

                                                   

                 Form created Sept.07

              

                   

 

 

 

 

 

 

 

 

           

 

 

 

 

 

 

 

 

ã St. Luke's Medical Centre 2006-2009