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Surgery Location

Chaperone Policy

Lister House Staple Tye Harlow Essex CM18 7LU Tel. 0844 576 9010

This e-mail link does NOT provide a secure service. If you are concerned about the security of your information you should consider using another method to request your prescription

If you have more than eight medications to order, submit the first eight separately in each row and repeat the exercise

The WHITE Repeat Prescription Order Form is on the right-hand-side

Online Prescriptions

If you have not got a WHITE repeat prescription order form with the particular item you want on it, you cannot use this link to request it.

By and large, e-mail prescription requests are logged first thing in the morning (Monday to Friday) and should be ready for collection after 2 full working days at 5:30pm.

We suggest you ensure that you order in good time before you run out of supplies, in particular if there are Bank Holidays as your pharmacist may also be closed.

Certain medications cannot be ordered this way:

Warfarin. We need to see your hospital INR anticoagulant booklet

Diazepam and related preparations

Controlled Drugs (prescriptions written by "hand" or with items marked "CD")

Hormone Replacement Therapy (HRT)

The Contraceptive Pill

Medication where the number of renewals has expired

Medication that has not been requested for a long time

*** Medication not on your repeat prescription order form ***

The surgery will be closed from 12:30pm on Thursday 30^th September 2010 for clinical training. We will be reopening the doors at 8am on Friday 1^st October.

In the event of a medical emergency during this time of closure please telephone 0845 070 1611.

Your Surname
Your First Name
Your Date of Birth
Your E-Mail Address
Your Doctor

1st Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

2nd Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

3rd Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

4th Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

5th Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

6th Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

7th Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

8th Medication
Dosage	Amount		(e.g. 28 or 30gm or 100ml)

Do you want the prescription post dated?

Indicate if you will collect the prescription from the surgery or arrange to pick it up from a chemist of your choice.
You cannot designate a chemist to collect your prescription until you fill out a registration form, available from that chemist.

Any Message?

This e-mail link does NOT provide a secure service. If you are concerned about the security of your information you should consider using another method to request your prescription. Please confirm that you are willing to accept this risk and use this service by clicking the accept box:		I accept

The surgery will be closed from 12:30pm on Thursday 30^th September 2010 for clinical training. We will be reopening the doors at 8am on Friday 1^st October. In the event of a medical emergency during this time of closure please telephone 0845 070 1611.

After clicking on the "Submit Prescription Request" button PLEASE WAIT for the acknowledgement page. This may take several minutes depending on the speed of your connection and how busy the server is. Please DO NOT press the "Submit Request" button again.