Concord Medical Centre

Online repeat prescription form

Submit your repeat prescription form online. This allows you to order your repeat medication, see your medical record and more online.

Names

What is your date of birth?*
For example, 15 3 1984

Contact Information
Your NHS number is a 10 digit number that you can find on any letter the NHS has sent you. For example, 458 777 3456. By providing your NHS number it helps us to ensure safely matching your records from the NHS spine.

Medication request