My Profile

You need to be logged in to edit your profile

Recently submitted forms and requests

17:46 17/09/2019

Repeat Prescription Order Form

unread

Name: Peter Roberts

Email: ardcomp@gmail.com

Telephone: 07973444721

Prescription-items: Lansoprazole 30mg
Lercanidipine 10mg
Metformin 500mg

Date-of-birth: 1960-06-04

Exemption: has a valid medical exemption certificate

15:25 17/09/2019

Repeat Prescription Order Form

unread

Name: Reuben Coles

Email: acadmin@blueyonder.co.uk

Telephone: 01952507058

Prescription-items: NovoRapid Insulin Vials
Contour Next Glucose Test Strips

Date-of-birth: 2005-12-03

11:42 17/09/2019

Repeat Prescription Order Form

unread

Name: Ali Jaafar

Email: alijaafar76@gmail.com

Telephone: 07904122212

Prescription-items: Atorvastatin 20mg

Thank you.

Date-of-birth: 1976-08-19

Exemption: has a valid prescription pre-payment certificate

10:13 17/09/2019

Repeat Prescription Order Form

unread

Name: Diane June Hearne

Email: jeremy.hearne@btinternet.com

Telephone: 01952 201170

Prescription-items: CODEINE PHOSPHATE 30MG
Fentanyl patch 12 mg/hour
Paracetamol 500mg
Donepezil 10mg

Date-of-birth: 1937-02-27

Exemption: gets Pension Credit Guarantee Credit

10:08 17/09/2019

Repeat Prescription Order Form

unread

Name: emily smith

Email: xemilygracex@hotmail.co.uk

Telephone: 07506679032

Prescription-items: Sertraline

Date-of-birth: 1993-06-19