Request a prescription

Self-pay patients can now request prescriptions using the form below. Each prescription request includes an administration charge of £40. If you have any difficulties using the form below, please contact us by phone or email.

Please ensure you are as accurate as possible with the name of your medication, dose and any other details that we need to be aware of, so that we can review and issue your prescription promptly.

Once you have completed the form you will be redirected to a page that contains our BACS transfer details where you will need to send payment to. We will not release your prescription until payment is recieved. 

How would you like your prescription sent?

7 + 7 =