Repeat Prescription Ordering
Please supply details:
Your UR number (if known)
Your full name
Your full address
Your date of birth (dd/mm/yyyy)
Contact phone number
Email address
Medication name(s), each separated by a comma
Number of repeats required
Specify location where your prescription is being kept
Delivery options
Pick-up date (we need at least 3 days to process your order)
Mailing address