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Private Prescription Request
Private Prescription Request
Patient Details
Tell us your details first
Full Name
*
Address
*
Street Address
City
Postcode
Date of Birth
*
Date Format: DD slash MM slash YYYY
Preferred Contact Method
*
Email
Phone
Mobile
Email
*
Phone
*
Mobile
*
If you are local to us, which branch would you like to uplift from?
*
Select a branch
Aberdeen
Aberfeldy
Aboyne
Alyth
Arbroath
Auchterarder
Ballater
Banchory
Blairgowrie
Brechin
Bridge of Earn
Bridgend
Broughty Ferry
Coupar Angus
Crieff
Comrie
Dundee
Dunkeld
Drymen
Elie
Forfar
Friockheim
Garelochhead
Killin
Ladybank
Letham
Methven
Letham
Milnathort
Muirhead
Newburgh
Panmurefield, Broughty Ferry
Pitlochry
Pitlochry (new)
Scone
South Street, Perth
Stanley
Thornton
Portsoy
Langholm
Lockerbie
If you would like the prescription posted we can deliver to anywhere in the UK, via first class recorded mail - just select Blairgowrie, and answer yes below.
Do you require your medication to be posted?
*
No
Yes - £4.40 for 1st class
Yes - £3.90 for 2nd class
You have the option of having your medicines delivered, either to your home or to any other address in the UK. Your prescription will be delivered by Royal Mail, parcel recorded service. You must be present in person to take delivery of your medicines and you may be asked for photo ID. Our delivery charge is that of standard post office fees, £3.90 for 2nd class and £4.40 for 1st class, please advise if you wish 1st or 2nd option.
Prescriber Details
Full Name
*
Address
*
Street Address
Address Line 2
City
Postcode
Profession
*
Select a profession
Doctor
Dentist
Pharmacist
Nurse
Optometrist
Medication Details
No of Items
*
1
2
3
Item 1
Medication Name
*
(including strength and form e.g. paracetamol 500mg tablets)
Directions
*
(e.g. two to be taken four times a day)
Quantity
*
(e.g. 100)
Item 2
Medication Name
*
(including strength and form e.g. paracetamol 500mg tablets)
Directions
*
(e.g. two to be taken four times a day)
Quantity
*
(e.g. 100)
Item 3
Medication Name
*
(including strength and form e.g. paracetamol 500mg tablets)
Directions
*
(e.g. two to be taken four times a day)
Quantity
*
(e.g. 100)
For private prescriptions to be valid, they must be written by a prescriber registered within the European Union (EU). Prescriptions will be verified before supply.
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