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Ascot Medical Centre
Heatherwood Hospital
London Road,
Ascot Berkshire, SL5 8AA

Telephone:
01344 877772
01344 638593

Repeat Prescriptions

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Ordering you repeat prescriptions couldn't be easier. Simply complete the attached form and press submit to send it securely & directly to us.
Alternatively, you can fax the details to us on 01344 877773 or call into the surgery in person and leave a written request with one of our Reception team.

Please allow 48 hours, excluding weekends, before calling in to collect your prescription.

Unfortunately, we are not able to accept repeat prescription requests by phone.

Ascot Medical Centre-Repeat Prescription Request

*Mandatory fields

*First Name :
*Surname :
*Date of Birth :: (DD/MM/YYYY)
Address :
Town :
County :
Postcode :
Date of Request :: (DD/MM/YYYY)
*Email :

Repeat Items Required

*Item 1 :
Item 2 :
Item 3 :
Item 4 :
Item 5 :
Item 6 :
Item 7 :
Item 8 :

Comments :

Type the characters you see in the picture: Typing the characters from a picture helps ensure that a person, not an automated program is submitting the form.

Picture :
: The picture contains 6 characters.
*Characters :