Nurse Checking Girl

PRESCRIPTION REQUEST

The following form can be used for refill of long term scripts and medications that have already been issued to you by our team. Long term medications can be issued for up to 6 months. Controlled medications can only be dispensed one month at a time and may require review with your doctor on a case by case basis.

It is NOT indicated for any new medications not prior issued, any 'once off' or emergency medications. For a once off script a review with our doctor is required.

Please use one line per medication request, including the medication name, dose and times taken during the day.

Please allow 48 hours for processing during which you will receive a text or email stating that your script was sent to your designated pharmacy.

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Opening Hours Monday to Friday 0915 to 1700, Saturday 1000 to 1200

0238878181, (EMERGENCY ONLY 0831297557)

BrookLane Clinic, Millbrook, New Road, Bandon, Cork, P72 YH72

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