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Heathcote, Tadworth, Surrey, KT20 5TH. Tel: 01737 360202 Fax: 01737 370119
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Please order your repeat medication by completing the following form, by fax -01737 370119, or in person at reception.

Please CLICK HERE for our repeat prescription guide.

The chemists listed below in the form will also arrange repeat prescriptions for your medication. Please speak to the pharmacist directly to arrange this.

   
*Name
*Postcode
*Date of Birth
*Email address
*To Collect From
*Drug & Dose(mg)
Drug Dose(mg)
 




   
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