Contact Number:

Date of Birth:

Britannia Branch ( 1st line address of branch ) :

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By submitting this form I give consent for Britannia pharmacy to order my prescription from my surgery.


Repeat Prescription Service Order or Query
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At present, this service is only available in conjunction with surgeries located in Tower Hamlets, Newham, Walthamstow, Leytonstone, Barking and Dagenham, Havering, Basildon, and most surgeries in Redbridge. We will continue to update this list as surgeries in other areas get on board.

Please ensure that you provide full details, and allow sufficient time to order your prescription. Your prescription will be ready for collection from your local branch within 48-72 hours.

Please note; On occasions your prescription may take longer than 72 hours based on individual circumstance


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