General Medication Review Form - Scotstown Medical Group

General Medication Question

This form should not be used to order medication - please telephone the prescription request line on 01224 551 400 or go to the prescriptions page on this website to order online.

For many questions regarding your medication you’ll find your pharmacy a valuable source of information. It may be more convenient for you to speak to your pharmacist in the first instance, as you may not get an immediate reply by using this form.

Your Details

Name *

Date of Birth *

Phone Number

Email Address *

Named GP (if known)

Prescription Question

WHAT IS YOUR PRESCRIPTION QUESTION? *

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data. *

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Page last reviewed: 20 July 2022
Page created: 15 July 2022

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General Medication Question

General Medication Question

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