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The Wiggly Demo Surgery

The Wiggly Demo Surgery


This is an urgent notice that can be displayed on your website - perhaps it can say FLU CLINICS BEING BOOKED NOW!
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Repeat Prescription Requests

Your patients can use this page to request their repeat prescriptions.

You can enter text above and below the form. You can use these areas to display your practice policy for dealing with prescriptions. How long should your patients wait before collecting their medication? Do you want them to enter the strength and dose of each medication?

Add the collection points available for your patients to use, they will appear in the drop down list on the form.

 
* - fields required

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 Format: dd/mm/yyyy *
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Medication 1:* Strength: Dose:

Medication 2: Strength: Dose:

Medication 3: Strength: Dose:

Medication 4: Strength: Dose:

Medication 5: Strength: Dose:

Medication 6: Strength: Dose:

If you require more than 6 items please click here


Additional notes:

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Captcha image

Enter the characters as seen on the image above (case insensitive):





The completed requests will be sent to an e-mail address of your choosing.

However, if you use our EnCompass Messaging System then the prescription requests can be sent directly to a designated pool. This will give you the ability to redirect the request to a GP if necessary for authorisation and with one click you can inform the patient that the prescription has been issued.

 

GP Website from Wiggly-Amps Ltd.