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Order a Prescription

To request a repeat prescription, please fill out the form below. Before doing so, please note the following:

  • We can only fulfil prescription requests for patients who are actively attending our practice.
  • Please allow 48 hours for us to process your request for a repeat prescription.
  • All requests are reviewed by one of our doctors and then emailed to your nominated pharmacy.
  • Medical card prescriptions are not subject to any fee.
  • Private prescriptions incur a fee of €20 which is payable after we review your request and before we send it to your nominated pharmacy (we will email you a weblink so you can pay online).
  • Before issuing a prescription, we will check when you last attended, if all investigations (such as blood tests) are up to date etc.
  • If we feel you need an in-person review by a one of our doctors or nurses, we will issue a prescription for one month only and advise you to make an appointment before we can issue a further prescription.
  • If we have recently reviewed you, and all investigations are up to date, we can issue a prescription for up to 6 months (prescription fees apply).
  • To ensure your safety we will need to perform a medical review with you in person at least once per year if you are prescribed any regular medication.
  • Many medications require monitoring of certain blood test parameters and vital signs. You will be informed if any such monitoring is overdue and a temporary prescription will then be issued to facilitate having these tests carried out. Upon satisfactory completion, a full prescription can be issued.
  • There is no additional cost for temporary prescriptions. This facility exists to ensure safe and appropriate prescribing of medications.
  • It is very important to tell us if you have stopped, started or changed any medications, e.g. if you had another doctor or hospital appointment.
  • Hospital prescriptions should be forwarded to the surgery so that your medical record can be amended to reflect any change.
  • Medical card holders registered with the practice seeking to have hospital prescriptions transcribed for their pharmacy should drop these to the surgery.
  • In accordance with Irish Medical Council Guidelines, it is practice policy not to routinely prescribe Benzodiazepines, Opiate analgesia or Z-Class sleeping tablets.

Please Note: Fields marked with a * are required.

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Personal Details


Name*

Pharmacy Details


Name of the Pharmacy we will send your prescription to.

Prescription Details


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