Cantwell Spillane
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  • Prescriptions
    • Long-term Prescriptions
    • Combined Oral Contraceptive Prescriptions
    • PHARMACISTS ONLY FORM
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    • Upload a picture
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    • Upload a document.
    • Medicine of Later Life Questionnaire
  • Home
    • Out of Hours
    • Contact Us
    • Surgery Times
    • About us
    • List of Services
  • Prescriptions
    • Long-term Prescriptions
    • Combined Oral Contraceptive Prescriptions
    • PHARMACISTS ONLY FORM
  • Covid Vaccinations
  • Uploads and Forms
    • Upload a picture
    • Update your details
    • Upload a document.
    • Medicine of Later Life Questionnaire
Picture
LONGTERM PRESCRIPTION FORM
THIS FORM IS FOR LONG-TERM PRESCRIPTIONS, YOUR "REGULAR" PRESCRIPTIONS AND NOT FOR ONCE OFF OR SHORT TERM PRESCRIPTIONS, PLEASE DO NOT USE THE FORM FOR ANYTHING OTHER THAN LONG-TERM REPEAT PRESCRIPTIONS

    Long-term repeat regular prescription request form

    THIS FORM IS NOT FOR ACUTE SHORT TERM MEDICATIONS IT IS FOR REGULAR LONG TERM MEDICATIONS

    PLEASE NOW LIST THE MEDICATION
    TO REDUCE PRESCRIBING ERRORS LIST ALL THE TABLETS DO NOT WRITE "AS BEFORE" OR "LIST ON FILE"
    WE NEED YOU TO  LIST WHAT YOU ARE TAKING TO MAKE SURE IT MATCHES OUR LIST 

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    Please allow 72 hours for prescriptions to be ready and remember to take weekends and bank holidays into account.
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