Repeat Prescriptions

Important

We recommend you request your Repeat Prescription a minimum of 5 working days before you run out of your medication.
If you have less than 2 days supply, please contact your surgery directly and ask for an urgent prescription to be issued to us.

Note: Before sending us your Repeat Prescription request, you must already be signed-up to our free NHS Prescription Service.

Your Personal Details

First Name *

Last Name *

Date of Birth (dd/mm/yyyy) *

Your Contact Details

Email Address *

Phone Number *

Your Repeat Prescription Order

Required Medication *

Sign-up Confirmation *

I am already signed-up for the GlucoRx Pharmacy free NHS Prescription Service

Consent

Verify you are human

Consent for storing submitted data *

Yes, I give permission to store and process my data

Terms & Conditions *

I give permission for information about my repeat medication to be sent between my doctor surgery and GlucoRx Limited and permit GlucoRx Limited access to my Summary Care Record in order to provide me with the best possible care. I agree to my contact details being used for communication purposes in relation to matters concerning medication queries, prescription collection and/or delivery & public health campaigns, important drug recall notifications and other promotions. I agree with the GlucoRx Limited terms and conditions and privacy policy.