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Grange Medical Practice please return completed form to: prescriptions.s70412@nhslothian.scot.nhs.ukApplication for Online Access for ordering prescriptions (*must be over 16 years old) Surname First
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How to fill out simple repeat prescription request
How to fill out simple repeat prescription request
01
Obtain a repeat prescription form from your doctor's office or pharmacy.
02
Fill in your personal information, such as name, date of birth, and address.
03
List the medications you need refilled, including the name of the medication and the dosage.
04
Indicate how many repeats you require and the reason for the prescription renewal.
05
Sign and date the form before returning it to your doctor's office or pharmacy.
Who needs simple repeat prescription request?
01
Individuals who have a chronic condition requiring regular medication
02
Individuals who need to refill their prescription on a regular basis
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What is simple repeat prescription request?
A simple repeat prescription request is a request for a prescription refill of an existing medication without needing to see a doctor for a new prescription.
Who is required to file simple repeat prescription request?
Patients who need a refill of their existing medication are required to file a simple repeat prescription request.
How to fill out simple repeat prescription request?
To fill out a simple repeat prescription request, patients usually need to provide their personal information, medication details, and pharmacy information.
What is the purpose of simple repeat prescription request?
The purpose of a simple repeat prescription request is to make it easier for patients to get refills of their existing medications without needing to see a doctor for a new prescription each time.
What information must be reported on simple repeat prescription request?
Information such as patient's name, medication name and dosage, prescribing doctor's name, and pharmacy information must be reported on a simple repeat prescription request.
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