You can also request a repeat prescription using Emis.

Emis Access is a web link to our surgery, all you have to do is enter your unique pin number and password - this will open a 'user friendly' page giving you access to request a repeat prescription. It is very easy to use even for a computer novice.
You need to register to use this system but then you can access the system 24 hours a day, 7 days a week. The site is totally private and is as secure as banking on-line.
Please remember that it will take two working days for your medication request to be ready.
How do I register?
Ask at reception today for your unique pin number and an information sheet. We will ask you to sign a confidentiality statement, so we request that you have written consent for other family members if you are requesting on their behalf.

Once you have your unique pin number and password you can access the on-line system by clicking here

Dr Goodman Dr Kant Dr Hermaszewska Dr Pugh
Repeat Prescription Request

You can send your repeat prescription request by email using the form below. All information must be completed or the request will not be sent.

Please allow at least 2 working days for preparation of the prescription.

Surname  
Forename  
Email Address  
     
Address  
Town  
County  
Postcode    
       
Date of Birth Day (dd) Month (mm) Year (yyyy)
       
Usual GP  
       
Name of Medication Tablet Strength How Often Taken? Amount Requested
e.g. Paracetamol e.g. 500mg e.g. 3 Times a day e.g.30 Tablets
       
Do you want to collect prescription from: Surgery Select which pharmacy
    Pharmacy
       
All information complete? Click Send button once only.
     
Caring for you and your family

STEVEN SHACKMAN
PRACTICE

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