See your Pharmacist First

NHS Pharmacy First Scotland will allow community pharmacies to give people expert help for treating conditions such as sore throats, earache and cold sores, along with common clinical conditions such as urinary tract infections (UTI’s).

Kilbirnie Medical Practice > Clinics & Services > Repeat Prescriptions > Repeat Prescription Request

Repeat Prescription Request

Order your repeat prescriptions online with the form below. You must be registered with the Practice before we can accept your request.

Please note: For reasons of privacy this form will not store your details or medication request. There is no email acknowledgement with this service. Once you send this form a notification message will appear to indicate successful submission. It is important to enter your correct email address failure to do so will result in non-delivery of your request.

The completed prescription will be ready within 48 hours from request. Repeat prescriptions can be collected at reception or directly from the local chemists, either Main Street or Holmhead in Kilbirnie, or from Well or Penmans pharmacy in Beith. Patients must inform the receptionist where they wish to collect prescription. Repeat prescriptions are issued for items which have been agreed by a doctor previously. All patients with repeat prescriptions must be seen at predetermined intervals by a doctor.

First Name *

Last Name *

Email *

Enter Email

Date of birth *

Please use format day/month/year e.g. 12/05/1979

Your phone number (this must be a UK number) *

Prescription Items

Copy exactly the details from a prescription slip you have received from the practice. e.g. Loratadine 10 mg

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.

Item 1

Item 2

Item 3

Item 4

Item 5

Item 6

Item 7

Item 8

Item 9

Item 10

Special Medication Request

Please Note: Special requests may not be authorised by the Doctor.

Name and address of Pharmacy for collection *

Please arrange this with your pharmacy

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
Please note: For reasons of privacy this form will not store your details or medication request. There is no email acknowledgement with this service. Once you send this form a notification message will appear to indicate successful submission.

I consent to the practice collecting and storing my data from this form.

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