Order Repeat Prescription

Request Repeat Prescription

If you are human, leave this field blank.

Name

First

Last

Phone

Date of Birth

Medications Required

Please ensure you list ALL the medications that you require (and dosages if possible). We can only provide prescriptions for the medications requested.

Other Pharmacy

Pharmacy you wish to collect from

All scripts sent from our surgery are now sent electronically. Please give us the exact name and address of the pharmacy you will be collecting your medication from.
Please note: There are a number of O'Sullivan pharmacies in Douglas, you will need to specify exactly which one you want us to send your script to.

Please give the practice 48 hours notice when ordering scripts.
48 hours notice is based on working hours. It does not include the weekend.