Repeat Prescription Request Form

If you do not have a full Patient Access account, you can use the form below to request any repeat prescriptions from the Red House Group.

Please allow 48 working hours before collecting your prescription. To find out more about repeat prescriptions please see the Prescriptions area of our website.

Note: a calendar should appear to enable you to enter your date of birth.  If it does not, please enter the date in the form yyyy-mm-dd (for example 1973-04-25).


About You

Medication Required

If you are requesting Warfarin please enter the following information:

Item Description