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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 working days at 5:30pm.

We suggest you ensure that you order in good time before you run out of supplies.

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 for staff training from 1pm Wednesday 1^th October until 8am Thursday 2^nd October 2008.
Please ensure that you allow for this closure when ordering your prescription.

If you qualify, and are currently registered at this Practice, then you can get your FREE flu jab at our Saturday morning clinic on 11^th October 2008. Opening hours are approximately 8:30am-11:30am.

Note that we can only administer flu jabs to those patients currently registered at the Practice AND who are in one of the risk groups listed below.

Aged 65 years or over on 31^st March 2009
Main carer of an elderly or disabled person
Immunosuppression due to disease or treatment
Living long-stay in a residential home (NOT prison or student hall of residence)

Suffer from a chronic illness or disease:

Respiratory
Renal
Heart

Neurological (e.g. Stroke or TIA)
Liver
Diabetes

More information is available from our flu jab page and the Department of Health web-site.

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.

For administrative purposes, can you indicate if you attend the HOSPITAL (not the surgery's) diabetic, cardiology or chest clinics. Thank you.

Any Message?

Please confirm that you are willing to accept this and use this service by clicking the accept box:		I accept

The surgery will be closed for staff training from 1pm Wednesday 1^th October until 8am Thursday 2^nd October 2008. Please ensure that you allow for this closure when ordering your prescription. If you qualify, and are currently registered at this Practice, then you can get your FREE flu jab at our Saturday morning clinic on 11^th October 2008. Opening hours are approximately 8:30am-11:30am.

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

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.