Eglwysbach Medical Practice
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Tonteg Patients - Repeat Prescriptions
Please ensure date of birth completed.

    Please include date of birth or we may not be able to identify you, and therefore cannot proceed with your request.
    Please enter a) Name eg Aspirin b) Strength eg 75mg c) Quantity required eg x28
    Please enter a) Name eg Aspirin b) Strength eg 75mg c) Quantity required eg x28
    Please enter a) Name eg Aspirin b) Strength eg 75mg c) Quantity required eg x28
    Please enter a) Name eg Aspirin b) Strength eg 75mg c) Quantity required eg x28
    The information you submit to us will be treated in the strictest confidence and will be deleted when we have processed your request. However we cannot guarantee the security of the global Internet/e-mail systems. Please tick here to say that you understand and agree to this. (Required)
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We are aware that for some patients, clicking Submit does not lead to the 'Confirmation' screen,  We can confirm that clicking submit still sends your requests, so there is no need to re-click.  If this is happening to you, it appears the problem is that your Web browser (eg Internet Explorer) is an old version and needs updating.  Please update it, or install a new modern browser eg Google Chrome, Mozilla Firefox etc.

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