Prescription Synchronisation Form

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Introduction

To help us synchronise your medication, please complete the following form.

Please be aware that we cannot synchronise certain medications for example patches or injections.

When you next collect your medicines you will receive different quantities of each item to bring them in line.

In the future, you might need to synchronise your medications again, as they may come in different pack sizes for example 28 or 30 tablets per pack.

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Your Personal Details

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Medication Required

This form collects personal and medical information about you and we use this information to allow the practice team to contact you.
Please read our Privacy Policy to discover how we protect and manage your submitted data.

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