Repeat Prescription Orders

Zero Tolerance Policy

The practice considers aggressive behaviour to be any personal, abusive or aggressive comments, cursing or swearing, physical contact or aggressive gestures. This applies to face-to-face situations, written material and to telephone calls. The practice will request the removal of any patient from the practice list who damages property or who is aggressive or abusive towards a doctor, member of staff or other patients. All instances of actual physical abuse on any doctor or member of staff by a patient or their relatives will be reported to the police as an assaul

    To Order your repeat prescription please fill out the form below.

    Patient Name

    Patient Date Of Birth

    Please note that dates MUST be in the format of DD/MM/YYYY ie: 21/02/1950.

    Daytime Contact Number

    Patient Post Code

    Email Address

    Collection Location

    Patients should be advised that all prescriptions will be sent to Eyemouth Pharmacy unless an alternative option is selected below.

    *Collect paper prescription in person from Eyemouth Health Centre option should be selected for use of any other community pharmacy.

    Prescription Required:

    Please be sure to include your prescription strength and quantity, For example: Paracetamol, 500g 1 Pack.

    Please use an individual line per drug required.

    Drug Name Drug Quantity Drug Dosage

    Check this box for antispam