Cape Cornwall Surgery - Prescriptions

St Just
Penzance
Cornwall
TR19 7HX

Telephone: 01736 788306

Fax: 01736 786288

The Surgery is open Monday to Friday 8am to 6:30pm We are closed for lunch between 1pm and 2pm

Health News

Prescriptions

To order your repeat prescription please complete and submit the form below, allowing 2 working days before collection.

If you would like to collect your prescription from a chemist, please indicate this on the form below.

If you are unable to collect your prescription and require a delivery, you must arrange this with the pharmacy directly.

^*Required fields

Enter your name:^*

Date of birth:^*

E-mail address:^*

Address:

(Can be found on your Repeat Prescription slip, please insert one medicine per line together with the dosage)

Medicine #1:^*

Medicine #2:

Medicine #3:

Medicine #4:

Medicine #5:

Medicine #6:

Medicine #7:

Medicine #8:

Medicine #9:

Medicine #10:

Please indicate where you would like to collect your prescription from:^*

Please enter the characters shown in the image above or press button for a new picture
if unreadable.

GP Consultations are also available at
St Buryan
Polgigga
Sennen
Contact us for more information