Prescriptions

Important – In order to minimize the risk to patients and ensure accurate records, the surgery only accepts prescription requests in writing – not by phone.

Prescriptions are now sent to the pharmacies electronically, so there is no need for a patient to attend to collect.

**Private prescriptions must be paid for in advance. NOTE – We will send you a text message with a billink to pay for your prescription.

Please use the form below to renew your prescription.

Wicklow Town Practice

Online Prescription Request

Your Full Name

Phone Number

Email Address

Date of Birth

Address

Valid MedicalCard holder Valid MedicalCard holder Yes No

Medical Card Number

Pharmacy

Medication no.1 / Dose and frequency

Medication no.2 / Dose and frequency

Medication no.3 / Dose and frequency

Medication no.4 / Dose and frequency

Medication no.5 / Dose and frequency

12 + 10 =

We will forward your prescription to your nominated pharmacy.

Please allow 48 hours before collection.

**Patients may be asked to attend the Doctor for review prior to prescrption being issued
e.g. for blood tests, monitoring blood pressure etc.

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01 287 5396

Out of Hours EDOC
01 223 4500

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3 Main Street, Kilcoole Co. Wicklow

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0404 67367

Out of Hours CAREDOC
1850 334999

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