Roskells Pharmacy | Repeat Prescriptions

How to set up your repeat prescription collection and delivery service from Roskells:

You can request collection and delivery of your prescription by:

• telephone

• visiting Roskells and discussing with a member of staff

• downloading the PDF form and returning it to our pharmacy

• by completing the online form below

Roskells-Pharmacy-Repeat-Prescription-Form.pdf

If you prefer we will give you a 2 hour slot for your delivery, evening slots are available on request.

If you would like to pick up your prescription from our pharmacy we can text you when it's ready for collection.

If you would like Roskells to automatically order your prescription on your behalf before we think you are about to run out please let us know and we will set up the service for you.

If you want to organise collection and delivery of your prescription online please complete the form below and press the submit button at the bottom of the page.

*Name:

*E-Mail:

*Telephone number:

*Delivery Address:

*Doctors Address:

*I would like Roskells Pharmacy to do the following with my prescription:

Electronically collect and deliver to my address

Electronically collect my prescription and I will pick it up

Text me to let me know my prescription is ready for collection.

Remind me when my prescription needs ordering.

Post to my delivery address

I would like Roskells Pharmacy to order on my behalf:

Yes (list items below)

I would like Roskells Pharmacy to order on my behalf (assuming a non-POD GP practice):

Yes (list items below)

Prescription item 1:

Prescription item 2:

Prescription item 3:

Prescription item 4:

Prescription item 5:

Prescription item 6:

Additional Info:

Fields marked with a * are required.

$Monday\nTuesday\nWednesday\nThursday\nFriday\nSaturday\nSunday$

$9am - 6pm\n 9am - 6pm\n 9am - 6pm\n 9am - 6pm\n 9am - 6pm\n 9am - 1pm \n Closed$

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