Repeat Prescription

You may request a repeat prescription by:

Using the online form on this page
Online using SystmOnline
Send to mseicb-bb.beechwood.scriptrequest@nhs.net
Post

We do not accept telephone requests as errors could easily be made.

Your prescription may take up to 72 hours (excluding weekends and bank holidays). A full policy is available from the Practice Manager on request.

If you have lost your repeat request counterfoil please write your name and address and the name of your medication on a piece of paper and place this in the box on the reception desk in the usual way or in the letterbox situated outside of the main entrance. You must always allow at least 2 working days for your prescription to be processed and longer at busy times such as Christmas, Easter and Bank Holidays.

Medication Reviews

Patients on repeat medication will be asked to see a doctor, nurse practitioner, practice nurse or clinical pharmacist at least once a year to review these regular medications and notification should appear on your repeat slip.

Please ensure that you book an appropriate appointment to avoid unnecessary delays to further prescriptions.

Prescriptions Charges and Exemptions

For information on prescriptions charges and exemptions from prescription changes please visit www.nhs.uk/using-the-nhs/help-with-health-costs/get-help-with-prescription-costs

Please allow two full working days for prescriptions to be processed and remember to take weekends and bank holidays into account.

Your Details

Title

First Name

Surname

Date of BirthDD/MM/YYYY

Are you able to provide your NHS or Patient Number?This will allow us to locate you quickly on our Patient Database.

NHS Number

Your Address

Address

Post Code

Your Contact Details

E-mail Address

Home Phone Number

Mobile Phone Number

Prescription Details

Preferred Collection Point

Comments

Medication Required

Medication 1

Name

Strength

Quantity

Medication 2

Name

Strength

Quantity

Medication 3

Name

Strength

Quantity

Medication 4

Name

Strength

Quantity

Medication 5

Name

Strength

Quantity

Medication 6

Name

Strength

Quantity

Medication 7

Name

Strength

Quantity

Medication 8

Name

Strength

Quantity

Medication 9

Name

Strength

Quantity

Medication 10

Name

Strength

Quantity

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Beechwood Surgery • Pastoral Way, Warley, Brentwood, Essex, CM14 5WF.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.