To provide us with your prescription details you can download our form and upload it to here or alternatively fill out the details below.
Click here to download our form. To upload you prescription order, add your file here
You may request up to twenty separate items. Enter each drug and strength on your prescription. Untick the 'Required' box if you do not require the item this time.
Please note that items will only be dispensed if they are included on your repeat prescription and a medication review is not pending.
Please do not include medical problems here - these should be discussed with your doctor