Repeat Prescription Online Request
Complete and submit - we'll ring you when its done, then you pay over the phone and collect or we can send it to you.
Either email or phone number is required for data verification and so that we can contact you; preferably both though!
Date of Birth
Please be specific - use your previous medication box information - even better, upload the photo.
Upload pictures of medication you'd like - you can upload more than one item description photo.
Terms and conditions
Agree to terms and conditions
By ticking this box you agree to SurreyGP preparing a repeat prescription for you as requested (where deemed appropriate by the doctor) and that you will settle the repeat prescription fee (£40) by card over the phone when our team calls to arrange collection. If you wish to have the prescription faxed to your local pharmacy an additional fax to pharmacy fee of £15 will be charged. Some requests will require a telephone consultation with the doctor before the prescription can be issued. We will discuss this with you over the phone before preparing the prescription.