Smiths Pharmacy

This website is posted as an example and
does not represent an actual pharmacy.

We have an arrangement with the following surgeries to dispense repeat prescriptions to patients -

Redbank, Fernbank & Greenhall

This service is only available to patients of these surgeries who have a valid, up-to-date, repeat prescription.

Full Name

Date of Birth (dd/mm/yyyy)

Phone Number

Email Address

Address

Your Surgery

Please tell us what medication you require. Be specific and check your spelling.

Please take all details from your repeat prescription record slip.

Drug Name 1

Strength

Drug Name 2

Strength

Drug Name 3

Strength

Drug Name 4

Strength

Drug Name 5

Strength

Drug Name 6

Strength

Drug Name 7

Strength

Drug Name 8

Strength

If you require more than 8 items, please submit another request.
If you have any comments about our service please leave them in the box below

Message

CONFIDENTIALITY - TERMS AND CONDITIONS

The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The Pharmacy accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I accept the terms and conditions above and understand that by ticking this box I give my consent for Smiths Pharmacy to order, pick up and dispense this repeat prescription.

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This website is posted as an example and does not represent an actual pharmacy.

This website is posted as an example and does not represent an actual pharmacy.

This website is posted as an example and
does not represent an actual pharmacy.

This website is posted as an example and
does not represent an actual pharmacy.