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Order medication 

You may use this form for both acute and repeat medication. 

For your repeat medications you may find it quicker to access the links below 

Click here for patients in Leeds or Exeter or Devon 

Click here for patients in Burnley or Gateshead

 

2. Please accept the following: *

 

3. Please confirm that you agree to our privacy and data sharing policy. *

 

4. To ensure you receive the right care, we work with clinicians across the NHS, including local pharmacies. This means that your econsultation may be reviewed by a local pharmacist working for a local pharmacy or by one of our own staff members who will call you to discuss further if needed. For more information, click here.  Please accept the following. *

 

5. All subsequent questions during the online consultation are directed at the person requiring the online consultation. You should only complete this consultation for: a) yourself, (b) for someone else where you have their permission to do so, (c) for someone else where you are permitted in law (for example, a parent or guardian, carer, someone with power of attorney). Please indicate who you are completing this online consultation for: *