Request a Repeat Prescription

This service is for existing registered patients of Clanmaurice Medical Practice only. If you are not registered with the practice, please use the Online Prescriptions service instead.

Repeat prescription requests are reviewed by the practice. Please allow up to 2 working days for processing.

Patient Details

Full Name *

Date of Birth *

Contact Number *

Email Address *

Address *

Patient Status *

Prescription Details

Preferred Pharmacy Name *

Pharmacy Location *

List of Repeat Medications Requested *

Please include medication name, strength, dose, and quantity if known.

Additional Information

Any changes, concerns, or notes for the doctor/pharmacist (optional)

I confirm that I am an existing registered patient of Clanmaurice Medical Practice and that the medications requested are part of my usual repeat prescription. *

Please select your patient status above to continue.

Clanmaurice Medical Practice · Abbeydorney 066 713 5525 · Ballyheigue 066 713 3200

Request a Repeat Prescription

Patient Details

Prescription Details

Additional Information

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