Request for medication not on repeat (PAST)

This service is for non-emergency queries only.
For emergencies or urgent help please click here

Due to high demand of enquiries, if you are requesting any items that can be bought without prescription, we will ask you to visit your pharmacy or buy the item over the counter instead.

Please DO NOT CONTINUE with this form if this applies to you. Visit your pharmacy or drugstore first.

Before you start

  • Your practice will aim to respond to your query within 2 working days.
  • If your query is not submitted, no details will be sent to your GP.
  • You must be over 16 to use this service, although you may use this service to contact the practice about a person you care for who is under 16.
  • You must be registered as a patient with Dr Samuel and Dr Khan Practice.
  • I am resident in, and am currently in, the UK.