Repeat Prescriptions Online

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 Please complete the following Form and click Submit to forward your repeat Prescription request to Doctor Ibrahims Practice at Haslingden.

This service is not for acute prescription requests

All kinds of Prescriptions can be ordered in the usual manner by Phoning the Surgery on 01706 226705

 

Full Name

Date of Birth

EMIS Number (if known-on prescription slip)

Contact Telephone

E-Mail

Collection Point

If you need to order all the items on your repeat Prescription then please tick here   

 

Drug Name Quantity Strength Dosage

 

Please Note: Your request will take up to 2 days to process

 

 

After filling in above -press 'SUBMIT'