Pines Medical Centre

Repeat Prescriptions

Please give us 48 hours notice when ordering your repeat prescriptions.
As this is a dispensing practice prescriptions of all commonly used drugs are
made up in the dispensary on the surgery premises.

The standard amount of repeat prescription dispensed under the NHS is one month's supply.

Medication reviews, eg: for diabetes or asthma, are good clinical practice and, if you have
a relevant history/repeat medication, you will be called for routine review with the Doctor or Nurse.

Each prescribed item costs £6.85 unless you have a valid exemption or pre payment certificate.
Payment can be made by either cash or cheque.
Please make cheques payable to "The Pines Medical Practice" and send to The Pines Medical Centre, Acharacle

Please complete this secure repeat prescription form. Click on Submit when ready to send.

Your name:
Email address:
Please make sure your email address is correct for replies

Address:
Date of Birth

Telephone:
Mobile:

Drug Name	Quantity	Strength	Dosage

Where would you like to collect your prescription?

Pines Medical Centre

Nearest Branch Surgery

Via Post

Comments / instructions where to leave if by post etc.

The Pines Medical Centre
Acharacle, Ardnamurchan, Argyll, PH36 4JU
Tel: 01967 431231 Fax: 01967 431396

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Pines Medical Centre

Repeat Prescriptions

Your name:

Email address:

Address:

Date of Birth

Telephone:

Mobile:

Drug Name

Quantity

Strength

Dosage