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Repeat Prescriptions

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Darley Dale Surgery

We are pleased to announce the online Repeat Prescription service is now available again. We apologise for the inconvenience that it's absence may have caused you.

Please use the page below to order your 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 'Continue' button you will be given the chance to review the details you have inputted. 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