Request Repeat Medication for under 16s

Please note, this form should be used for requesting medication for under 16s only. Anyone over 16 can request via patient access by following this link.

Please add in the ‘Additional Info’ box at the bottom of this page exactly how many medications you have requested on the form.

Any requests received for over 16s will be rejected.

Date published: 4th September, 2018
Date last updated: 4th July, 2024