Repeat Prescription

Please allow 48 hours notice for a repeat prescription.

Patients sending a stamped addressed envelope can have their prescriptions posted.

When re-ordering a prescription please use the computerised slip on the below. If handing in a written request, please write clearly. Patients can either:-

  1. Post the prescription to the surgery.
  2. Fax request on 76467512
  3. Leave request in Reception post box located the patio window.
  4. Visit our web site on: www.limbrickwoodsurgery.co.uk and access the  Prescription Form
  5. E-mail direct to: reception.m86605@nhs.net 

We only accept repeat prescriptions over the telephone for house-bound and terminally ill patients.

Most chemists in the practice area do a Home Delivery Service. If you inform the chemist when you order your prescription from us, they will collect the prescription and deliver the items to your home.

1 Your Details

Please provide in the format dd/mm/yyyy
This will allow us to locate you quickly on our Patient Database.

2 Your Address

3 Your Contact Details

4 Prescription Details

Medication Required


Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key known only to the GP practice and is accessed over a secure connection by nominated Practice staff. Our practice has a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


Jardine Crescent, Coventry, West Midlands, CV49PN
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