Repeat Prescription Request form to print

What is a repeat prescription?

If you are taking medication regularly, long-term, then the clinician may decide that you do not need to see them each time you need a new supply of medicines.

The clinician will add the medicine you need regularly to your records as a “repeat drug”, which you can order when your medicine is running low. 

If you have medicines on repeat you will be issued with a “repeat request slip” attached to your prescription.  If you cannot see your medication listed on the repeat list, that is because it is not on your record as a 'repeat drug'.

Using the repeat request slip

  • Tick the box(es) next to the prescription item you will require within the next ten days
  • If you do not have a spare repeat slip, a request form can be obtained and filled in at reception.  Alternatively, we would accept any written request, so long as it contains all the details about your medication - name, strength, dosage.
  • If you are ordering dressings, catheters or ostomy bags then it is useful to the receptionist if you give the code/reference number on the form.
  • Your repeat request slip cannot be used to order any new items, you will have to make an appointment to see the doctor or nurse.
  • Before you ask for a repeat prescription, please STOP and THINK, are you still using ALL the medication on your repeat prescription? If not, then please inform the surgery.



Changes to how to order your Repeat Prescriptions:

From 1st April 18, NHS Calderdale CCG has taken the decision to recommend that we cannot accept orders from 3rd Parties (Pharmacies, online pharmacies and medical equipment supplies).


We understand that we will have a certain cohort of patients who will need assistance with ordering their medication. The practice is working closely with local pharmacies to identify patients who should be EXEMPT.


You will now need to order your own medication.

Why this is happening:

  • Prevent waste through medicines being over ordered.
  • Reduce spend on unwanted medicine
  • Prevent stockpiling medicines
  • Put patients in control of their own medicines.


You will need to order your repeat prescriptions from Rosegarth/Siddal Surgery when you have at least 7-10 days of medicines left.

    • Did you know you can order online using a smartphone app or a computer? Please ask a receptionist for an online registration pack. You will need to show photographic ID & proof of address in order to obtain access and password.
    • Drop off or post your repeat prescription request at the Practice.

How to Order Prescriptions Leaflet

Requests must be in writing and may be submitted online, in person, or by post.

We DO NOT take requests for prescriptions over the telephone, as mistakes are too easily made.  Please allow two full working days between request and collection.  We are happy to post prescriptions if a SAE is provided.

Many pharmacies offer medicines collection and delivery services. Ask your pharmacist for more information.  If you wish the prescription to be sent directly to the pharmacy then please indicate the appropriate pharmacy on the request form. 

In May 2014 we introduced Electronic Prescriptions Service (EPS).  EPS means we can send your prescription electronically to the chemist of your choice. Please contact the practice to let us know your preferred chemist.  EPS saves money, time and the environment.

Electronic prescription leaflet

After receiving items on repeat prescription for a length of time, the doctor may request that you make an appointment to attend the surgery for a medication review with either a doctor or a nurse.

We require two full working days for the safe preparation of your prescription, provided your request reaches us before 4 pm.  Please collect you prescription after 2 pm. 







In order to make our prescription service safer the receptionists do not take requests for prescriptions over the telephone. All requests for prescriptions will need to be made:


  • Online – please ask the receptionist for information about registering to use this service
  • In Writing – Using your re-order slip or full written details (including dose & quantity) you can bring this to the surgery, post it to us


Prescription request forms are available in surgery and to download from our website


The reasons for this are as follows:

  • The most important reason is that it is safer. Some telephone messages to the surgery are not clear and can involve a great deal of time and effort in checking and chasing up correct drug details and the correct dosages.
  • This system will reduce the number of phone calls to the surgery. It will be easier for patients phoning for appointments, advice or in urgent need of help to get through.
  • To improve confidentiality on the main reception desk, and allow the receptionist to be more available to patients in the surgery.
  • To bring us in line with national guidance regarding safer prescribing.


The receptionists at the surgery for a number of years have not been able to take requests for repeat medication over the phone, so please think ahead and order in plenty of time, leaving at least 2 working days for the prescription to be processed.


This system has been successfully in place at our surgeries for a number of years and as a result we aim to provide a safer and more accessible service for you all.


If you are housebound and are not able to use any other prescription request method shown above, please let the receptionist know. They will discuss your situation with your doctor, and find a suitable solution.

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