and RE-REFERRAL REQUEST APPLICATION.
This is a service used on the following
1. The doctor has the right to not fulfil the request. ( in which case the applicant will
be notified by return email)
2. Two full working days will be required between submission of the request and its
3. Prescriptions and referrals are to be collected from St Agnes Surgery.
4. Only the doctors listed on the form will provide this service to their own
5. It is practice policy that repeat scripts and re-referrals are issued without a
consultation only by prior agreement.
6. Only the privacy of the email service used can be assured.
7. We accept no responsibility should the system fail.
8. The doctors listed, believe the email requesting concept to be innovative and likely to
improve efficiency - we welcome your feedback.
9. A fee of $5 for a repeat prescription and $2 for a specialist re-referral applies.
Note : a FORM CONFIRMATION
screen normally appears on your computer when SUBMIT has been successful - if a confirmation screen DOES NOT appear SUBMIT THE REQUEST again.
Web Privacy : No personal information is
collected from persons accessing this web-site except where individuals submit a form
request for a prescription - the information collected is that included on the form.
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