Albion Medical Practice - Request Medication Online

Request Medication Online
Would you like to use Patient Access or Accurx to request medication online?

YesNo

Please access patient access here to request medication online or simply use our accurx triage page here

Repeat Prescription Request

Please allow 3 working days for your prescription request to be processed by the Practice instead of to be collected, as pharmacy wait times may vary at the moment.
Name*

First NameLast Name
Date*

MonthDayYear
Date
Tel:*
Email*
example@example.com
Medication Required
Medication Required
Strength
Quantity
Medication Required
Strength
Quantity
Medication Required
Strength
Quantity
Medication Required
Strength
Quantity
Medication Required
Strength
Quantity
Medication Required
Strength
Quantity
Additional comments
I have nominated a pharmacy and will arrange my collection from the pharmacy.
Should be Empty: