Get in touch

If you have any queries, please do not hesitate to get in touch. You will find all of our contact details on our contact page.

To request a repeat prescription, please fill out the form below

Before doing so, please note the following:

  • We can only fulfil prescription requests for patients who are actively attending our practice.
  • Please allow 3 days for us to process your request for a repeat prescription.
  • All requests are reviewed by one of our doctors and then emailed to your nominated pharmacy.
Name(Required)
Prescription(s)(Required)
Medication
Dose
Quantity
 
The information you provide on this form, including information relating to your medication and healthcare, will be processed by Sliabh Medical Practice for the purpose of managing your repeat prescription request and providing healthcare services to you. Your information will be handled securely and in accordance with our Privacy Policy.