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OPENING HOURS:
8.15 am to 6.30 pm
Monday - Friday

Tel: 01837 52233

(Telephone lines open
8.30 am to 6.00 pm
Monday - Friday)

 

 

Okehampton Medical Centre

Repeat Prescription Order Form

Before using this form please read the notes HERE.
Please make sure you complete the form accurately. Fields marked * are compulsory. Click the Order Repeat Prescription button at the bottom of the form when you have completed it.
*Patient Number:
*Date of Birth:
          

Day:
Month:
Year:
Prescription to be collected from:
Repeat Prescription Items:
  Description
Quantity
*1:
2:
3:
4:
5:
6:
7:
8:
*I have read the Repeat Prescription notes (type YES):

The information you have entered is sent via the Internet to Okehampton Medical Centre, and may not be secure. However your Patient Number is known only to the Medical Centre and yourself and cannot be used to trace you.

Okehampton Medical Centre • East Street • Okehampton • EX20 1AY ..Tel: 01837 52233.. Fax: 01837 54950


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April 2008