Repeat Prescriptions

  • Fill out your details below in order to get your repeat prescription.
  • Repeat Prescriptions cost €20
  • The €20 is to be paid as soon as your send the form.
  • Payment is taken safely & securely through Stripe.

    IMPORTANT, PLEASE NOTE:

    • Please allow 48hours for request to be processed on week days.
    • Patients may be asked to attend Dr for review depending on last attendance and current medications requiring monitoring.
    • I acknowledge that if I am collecting my script that this can only be done between 9:30am - 1pm Monday to Friday.




    Your Details:
    Pharmacy Details:
    Medication Details:
    e.g.: Panadol
    500mg
    3 times daily
    2 tabs
    1 month
    What do you want us to do with your prescription?*

    GDPR: We will only use the information you provide us in this form to deal specifically with your request for a repeat prescription and we will not use it for any other purpose.

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    For Skin Health (new & registered patients), Women's health (new & registered patients) and GP(registered patients only) appointments please book online
    Alternatively please phone reception on 01 5642749
    Reception hours:
    Monday -Friday 0930-1300
    or
    Email us: info@lincolnplacemedical.ie
    For out of hours service we recommend GP24.ie or nassau.ie
    For emergencies, attend your local emergency department