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 5 working days 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