BuiltWithNOF
email Prescription Request

Borough Road, Middlesbrough TS1 3RX  Tele: 01642 247029/247401   Fax : 01642 223803

You can request your regular repeat medication by completing this form.
You can only request what is already authorised on your repeat prescription list.
Your prescription will be ready to collect after 2 working days.
You must complete the red fields.

Important
Please note that this is NOT a secure link. In order to maintain your confidentiality, we ask that you only provide the first 3 letters of your surname. This information, together with your unique patient identification number and your date of birth will enable us to confirm your identity.
Surname First 3 letters only
Patient ID (can be found on your repeat prescription slip)
Your email address
Date of Birth (dd/mm/yy) e.g 04/08/22
Medicine Dose/Quantity
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