Repeat Prescription Form

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All questions marked with a * are mandatory

Your Personal Details
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How Would You Like To Send Your Request?: *
Manual Input

Prescription Items

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

Please note

  • Items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.
Upload Photo

Prescription Items

  • You can upload a document, photo or scan 

Please note

  • Items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.
Only following file extensions are allowed: jpg, jpeg, png, webp, pdf, doc, docx, pptx
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Communication Consent

Our practice uses text messaging to send patients information regarding test results, appointment note requests, reminders and any other information deemed suitable by the practice to communicate.

Please consent to receiving text messages and to agree to notify the practice if you change your mobile number.

SMS messages: *

Privacy Consent

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Contact

Strathesk Medical Practice
Bonnyrigg Health Centre
109/111 High Street
Bonnyrigg
Midlothian
EH19 2ET

Telephone: 0131 322 9333

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Providing NHS Services