Medication Requests

Medication Query

If you have a medication query please use one of the options below.

Please note we don’t take medication requests over the phone.

Medication wastage

Please only order medicines a week before you are due to run out, in order to avoid a large surplus being collected at home. This will help reduce medicines wastage. Please contact the surgery to update us if you are being prescribed medicines you no longer need. This is an example of one patients medicine collection. Thank you.

Requesting A Prescription

There are four options for ordering medications:

Option 1

Use the form below. You need to fill out details of each of the medicines you need, every time you request them.

Option 2

Ask your pharmacy to get your medicines ready for you. They will request it for you and get the medicines ready for you.

Option 3

You can also use Patient Access or the NHS App. This allows you to ask for your prescription to be sent to a local pharmacy. You can use both Patient Access and the NHS App on your smartphones and computers.

Option 4

Fill out the repeat slip that came with your precription, tick what you require and put it in the letter box at the front of the building.

Please note. We get hundreds of medication requests each day. It takes 48 hours for your prescription to be processed by us.

Your three closest pharmacies to the practice are Aldridge Pharmacy (previously Lloyds Pharmacy), Boots Pharmacy and Lazy Hill Pharmacy. You can nominate any pharmacy for all your medicines to be sent to (you can ring our reception team on 01922 450950, or use our online system). Pharmacies can help with minor illnesses such as coughs and colds, hayfever, headaches, sore throats, insect bites etc.

Your Details

Title

First Name

Surname

Date of BirthDD/MM/YYYY

Are you able to provide your NHS or Patient Number?This will allow us to locate you quickly on our Patient Database.

NHS Number

Address

Post Code

E-mail Address

Home Phone Number

Mobile Phone Number

Prescription Details

Preferred Collection Point

Comments

Medication Required

Medication 1

Name

Strength

Dosage

Quantity

Medication 2

Name

Strength

Dosage

Quantity

Medication 3

Name

Strength

Dosage

Quantity

Medication 4

Name

Strength

Dosage

Quantity

Medication 5

Name

Strength

Dosage

Quantity

Medication 6

Name

Strength

Dosage

Quantity

Medication 7

Name

Strength

Dosage

Quantity

Medication 8

Name

Strength

Dosage

Quantity

Medication 9

Name

Strength

Dosage

Quantity

Medication 10

Name

Strength

Dosage

Quantity

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

I consent to my information being used for the purposes described above and wish to submit this online form to Portland Medical Practice • Anchor Meadow, Aldridge, Walsall, West Midlands, WS9 8AJ.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.

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