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Prescription request form

Please note this is for existing patients only.

Prescription Requests

If you require a prescription outside of a consultation, please complete the form to submit your request.


Please note a non-refundable £37 total admin fee will be charged. This covers our admin costs. This does not include the cost of the medication which will be charged by the pharmacy in addition to this fee.


Please read our prescription statement relating to the prescribing practice from Menopause Care.

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