Use this service to submit an annual review the use of repeat medication. If you are a dispensing patient and come under any of the following categories, please complete this form.
- Patients who are taking four or more medications
- Patients who are diabetic
- Patients taking anti-coagulents (blood thinning medication)
- Patients who have non oral medication eg. eye drops, ointments, injections etc
You can use this service if you:
- are registered at the surgery
- have your medication dispensed by the surgery
Before you start
We’ll ask you for:
- your first and last name, date of birth, sex, postcode, email and phone number
- if applicable, the details of the person you are completing the form on behalf of
You can also phone us on 01452 840228.
