Online Prescriptions

Home | Contact Us | Disclaimer

Tel: 01753 887311

Online Repeat Prescriptions

Disclaimer: Please note this is not a secure form.
This form is sent to us via computers that do not belong to the NHS in a non-encrypted format. Complete confidentiality for this type of repeat prescription request can not be guaranteed. If you have an issue with this please feel free to use our normal repeat prescription service.

Please allow 2 working days before collection.

THIS FORM IS FOR PATIENTS REGISTERED WITH
DR ALLAN & PARTNERS

Patients Name*

Date of Birth*

Address*

Email Address

Please Note: By providing your email address you authorise us to contact you via this method.

Contact Tel.*

Your Doctor *

Please select where you want to collect your prescription

* You must provide this information.

Item Description

Quantity

(e.g. Paracetamol)

(e.g. 100)

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

* Not for medical problems *

Comments about this Prescription

CALCOT MEDICAL CENTRE
Hampden Road
Chalfont St Peter
Gerrards Cross
Bucks
SL9 9SA

Tel: 01753 887311
Fax: 01753 891933

_______________

Harmoni
Out of Hours Service
(6.00pm - 8.30am)
Tel: 0845 450 2530

_______________

NHS Direct Online

Tel: 0845 4647
(Available 24 hours)

_______________

Click here for our latest news