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PRIVATE REPEAT PRESCRIPTION
CLIENT ACCOUNT NUMBER:ACCOUNT NAME:PATIENT DETAILS
PATIENT NAME:DATE OF BIRTH:PATIENTS RESIDENTIAL ADDRESS:
TOWN/CITY:POSTCODE:I ...........................................................................................
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How to fill out private repeat prescription
How to fill out private repeat prescription
01
To fill out a private repeat prescription, follow these steps:
02
Gather all the necessary information: You will need the name of the medication, dosage instructions, and the number of repeats required.
03
Write your personal details: Include your full name, contact information, and date of birth.
04
Provide the name of the prescribing doctor: Write down the name and contact details of the doctor who prescribed the medication.
05
Indicate the pharmacy of your choice: Specify the pharmacy where you would like to pick up your prescription.
06
Include any additional instructions or information: If there are any special instructions or important details, make sure to include them.
07
Sign and date the form: Verify your request by signing and dating the prescription form.
08
Submit the form to the appropriate party: Send the completed prescription form to your doctor's office or the designated pharmacy.
09
Keep a copy for your records: Make sure to keep a copy of the prescription form for your personal records.
Who needs private repeat prescription?
01
Private repeat prescriptions are needed by individuals who:
02
- Require ongoing medication for a chronic condition
03
- Have a medication that requires regular refills
04
- Prefer to have a dedicated private prescription rather than using an NHS prescription
05
- Are unable to access NHS prescription services
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What is private repeat prescription?
Private repeat prescription is a prescription written by a doctor for medication that a patient can get on a recurring basis.
Who is required to file private repeat prescription?
Patients who need to refill their medication on a regular basis are required to file private repeat prescription.
How to fill out private repeat prescription?
To fill out a private repeat prescription, the patient must take the prescription to a pharmacy and the pharmacist will dispense the medication.
What is the purpose of private repeat prescription?
The purpose of private repeat prescription is to provide patients with a convenient way to refill their medication without having to see a doctor for every refill.
What information must be reported on private repeat prescription?
Private repeat prescription must include the patient's name, the medication name and dosage, the prescribing doctor's name, and the date the prescription was written.
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