Bampton Surgery
Drs. Chris Mew and Paul Backhouse
  
The Surgery, Barnhay, Bampton, Devon. EX16 9NB
Telephone 01398 331304
Fax 01398 332067
 

Prescription Order Form

If you wish to order a repeat prescription by e-mail, please complete this form and send it to the Surgery.

Repeat prescriptions are signed by the doctors at lunchtime and sent to the chemist in the afternoon.

The pharmacists have asked to have 24 hours notice in order to prepare the medicines.

Please remember e-mails are not confidential.

prescription form

* required fields

First Name *  
Last Name *  
email address *  
Computer Number*

 

Medicine
DosageQuantity
  
Which chemist would you like the prescription sent to? *
  
Any special instructions or information?

When you have completed the form, please click here

If you do not want to send this order, please click here

 

 
The Surgery, Barnhay, Bampton, Devon. EX16 9NB Telephone 01398 331304
© 2005