Annagh Medical Centre, Doctors Road, Ballyhaunis, Co. Mayo, Ireland

094 9632232 / 094 9632322

Repeat Prescriptions Form

To order your repeat prescription, please use the step by step form below.

First Name

Last Name

Date of birth

Phone

Email

Chemist

I consent to Annagh Medical Centre Practice using this data to contact me

I confirm that i request all of the medications to be re-prescribed for my personal use

Request repeat prescription

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