Please fill in the patient’s details below to request prescriptions online. Medication requests can also be done via the NHS app or by email to [email protected] *

• All requests will take up to two working days to process.
• Any new medications or medications that have not been issued for a long time will require a review with a GP. Please book an appointment.
• This website is for Dr Raghvan’s Surgery. Any medication requests for patients from other surgeries will be ignored. Please contact your own surgeries for medication needs.

First Name *

Surname *

Contact Phone Number *

Date of Birth (dd/mm/yyyy) *

Address *

E-mail address

Post Code *

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Nominated pharmacy – medications will be sent here – name and post code of pharmacy required *

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* If requesting by email make sure to include the name, date of birth and the nominated pharmacy. Each individual medication will need to be named.