Dartmouth Medical Practice...Online

Please input your details into the form and click the request button when complete.

	Please fill in ALL the fields in the grey boxes.
	Use the TAB button on your keyboard, or use your mouse to the next box. Please do NOT hit Enter on your keyboard. If you do this, you will be told you have not filled in the form correctly and asked to do it again.
	You must be a registered patient to use this service. If you are not registered, your request will be ignored. You can only request a prescription from the surgery whom you are registered with.
	If you need to change your collection point, please do so on the 'Change Collection Point' page. This change will NOT be instant and your prescription will be sent to your usual collection point for this request.

Important
You must accept the Terms and Conditions of this service and tick the checkbox at the bottom of this form. You will not be able to use this form without accepting our Terms and Conditions of Service.

First Name                               Surname                                  Date of Birth (dd/mm/yy)

Phone Number                   E-mail address                       Your Doctor

Drug Name                                                                      Strength

Comments

I hereby agree to and accept the terms and conditions of this service.

Your prescription will be ready for you at your usual collection point within 48 hours of receipt. We do not receive prescription requests on Saturdays, Sundays or Public Holidays

New web site up and running

Patient Services
	Request Prescription
	Change Collection Point
	Online Consultation
	E-mail a Doctor
	Change your Details
	Contact Us
	Suggestions or Complaints
	Travel Vaccination Advice
Interact
	Web Site Feedback
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Help Yourself
	External Web Links

The surgery has over 8500 registered patients. However, come summertime, as well as looking after our patients, we see over 2000 patients here on holiday in South Devon.

Not only that, but we also issue over 2000 prescriptions each and every month. That's 11,000 items! Please do bear with us if your prescription goes missing, we will always do our very best to rectify the situation.

Design