Darley Dale Surgery :: Peak Health Care at Darley Dale, Winster & Youlgreave

Repeat Prescriptions

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We are pleased to announce that you can now order repeat prescriptions online.

In order to process your request efficiently, we would ask that you complete all of the following information as accurately as possible.

When you click the 'Proceed' button you will be taken to a confirmation page. From there, you can either choose to edit your details or send them to the surgery.

You will then receive an e-mail confirming receipt of your request, together with details of how your order will be processed and what you need to do next.

Title
First Name
Surname
Date of Birth eg 240272 (DDMMYY)
E-mail Address
Confirm E-mail Address
Home Address
Postcode
Daytime Phone Number Please enter the landline or mobile telephone number we can most easily contact you on in the event of a query
Prescription Details Please enter the full drug name and dose required. Please enter multiple requests on separate lines by pressing 'return' after each request. Please only request items ON your repeat list.
Your Surgery
Are you a 'Dispensing' Patient? If your surgery issues your medication directly, select 'Yes'	Yes No

Darley Dale Surgery

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Repeat Prescriptions

Surgery phone numbers:

Order repeat prescriptions