Medicine Synchronisation

Gets those meds in line!

You can use the form below to order a specific number of tablets of certain medications. You can use this system to get your medications lined up so that you can order them all at the same time each month. This is not only more convenient for you but also is more efficient for us so we can spend less time signing prescriptions and more time seeing patients.

Forename *

Surname *

Date of Birth *

First line of address

Please complete the rows below, one for each medication that you are requesting.

This form is not for ordering your regular medication. To do that we would recommend using the NHS app (or NHS online), Patient Access or by contacting your pharmacy.

Confirmation

I confirm that I am not using this form to order my regular medication but am using it to order a specific quantity to synchronise my tablets

Medication name

Dose

How many do you want?

Medication name

Dose

How many do you want?

Medication name

Dose

How many do you want?

Medication name

Dose

How many do you want?

Medication name

Dose

How many do you want?

If you are human, leave this field blank.