Medication Queries

Please complete the form below if you have any questions about your medication

Declaration Required

I understand that this form is for medication queries only and should not be used to submit repeat medication requests; these requests should be submitted via your online account or by using your paper repeat slip

Patient's Name Required

Patient's Date of Birth Required

Patient's NHS Number (if known)

Query Priority Required

Urgent Query (Please allow 2 working days)

Non-Urgent Query (Please allow 5 working days)

If your query needs immediate attention please contact the dispensary on 01778 579000

Preferred Method Of Contact For Response Required

Comments Required

I agree to the privacy policy

Medication Queries

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