Repeat Prescription Form

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Your Personal Details

Medication Required

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice.

Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.

This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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Care Quality Commission
Rating: Good

St Anne's Surgery
161 Station Road
Herne Bay
Kent
CT6 5NF

Telephone: 01227 742226

Beltinge & Reculver Surgery
269 Reculver Road
Beltinge
Herne Bay
CT6 6SR

Telephone: 01227 374902

Hersden Surgery
St Alban's Road
Hersden
Canterbury
CT3 4EX

Telephone: 01227 710416