01322 663021
contact@villagepharmacyhextable.co.uk

Repeat Prescription Registration

Register for your repeat prescription here.

/ / (DD/MM/YYYY)
 (From today)
Please tell us What medication you require. Be specific and check your spelling.
Please take all details from your repeat prescription record slip.
Drug Name Strength Quantity

Optional Addition Message :
Tick here to Confirm EPS
& agree to our terms :

Not readable? Change text.
< please type word
By clicking the register button, you are agreeing to our terms and conditions. Although we make every effort to securely transmit and store your information. Your request medication is entirely at the patient's own risk. The pharmacy accepts no responsibility for breaches in confidentiality resulting from patients' transmissions

Click here to continue to your profile