Carlton Hill Pharmacy Repeat Prescriptions Name *Email Address *Street AddressApartment, suite, house numberCityPostal CodePhone NumberMobileMessage0 / 180I would like Carlton Hill Pharmacy to collect my repeat prescription from the surgery detailed above (either in person or by electronic transfer). I will contact you if I wish to change this arrangement.SignedDateTextTextBlister packs are available to eligible patients following an assessment, to help you organise your weekly medication. Please tick the box to take advantage of this free service.Select Your Doctors SurgeryBakersfield Medical CentreFamily Medical CentreGreenwood Medical CentrePeacock HealthcareNetherfield Medical CentrePark House Medical CentreWestdale Lane SurgeryWindmill PracticeIf other surgery, please type belowConfidentiality We keep a confidential record of the medicines that we supply to you. We comply with the NHS Code of Practice on Confidentiality and the Data Protection Act.GDPR *Yes, I agree with privacy policy, terms and conditionsSend Message Carlton Hill Pharmacy Providing a Package of Care, Not a Pack of Pills How To Find Us 359, Carlton Hill Carlton Nottingham NG4 1HW 0115 987 3660 Email Us
