Prescription Question

Pharmacists are trained experts in the use of medicines. For many questions regarding your medication you’ll find your pharmacy a valuable source of information.

You can use the form below to ask the practice a question regarding your medication, such as:

• When you should take it and what to do if you miss a dose.
• What the possible side effects are, and what to do if they occur.

Please Note – once you have submitted this information, any reply or acknowledgement from us will be sent to the email address you provide at top of the form. This response may include personal and sensitive information about you. We therefore strongly advise that you provide a personal email address that only you have access to. If you do not wish for us to communicate with you via email, please do not use this form and call us instead.

Prescription Question

Prescription Question

If you are human, leave this field blank.

Full Name: *

Date of Birth: *

Please use this date format: DD/MM/YYYY.

Phone Number:

Email Address: *

This email address will be used for all correspondence relating to this request. Please be aware that if anyone else has access to this email address that they may see responses sent to you.

Named GP (if known):

What is your prescription question?

*

I confirm that my enquiry is non urgent, a reply won't be sent until 2 working days.