Repeat Prescription — Pelican Pharmacy

Repeat Medication Request

Repeat medications can now be requested directly from your surgery using the Patient Access or NHS app. Please contact your surgery to obtain your User ID and password.

Please ensure that Pelican Pharmacy is your nominated pharmacy in order for prescriptions to be sent directly to us electronically. You can nominate a pharmacy using the app.

Patient Access

NHS App

Alternatively, please fill in the form below to request for a repeat medication. Please allow at least 5 working days for request to be fulfilled.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Email

Phone number

Postcode

Surgery

Medicines Requested

Addition comments

User Agreement

I confirm that I have nominated Pelican Pharmacy to process my prescriptions. Personal and medical information will be shared with my doctor.