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The Medlock Medical Practice Providing NHS services
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Home > Medication Review Request

Medication Review Request

Medication Review

We review any regular medication on a repeat prescription annually and wherever possible the doctor will do this without you having to attend the surgery.

If you have been advised by the surgery that your medication review is due please use this form.

Medication Review Request
Do you know when and how to take your medication?
Do you know why you are taking each medication?
Do all your medication run out at the same time? Are they in line with each other?
Who orders your medication?

Privacy Protection

Information submitted through secure forms is used only for the purposes of processing your request. We may be in touch with you in relation to the information submitted.

All Information submitted through secure forms is secured with a private key and is accessed over a secure connection by nominated staff. We have a strict confidentiality policy.

This information is not shared with any third party organisations.

This information is retained for up to 28 days.

Learn more about our Privacy Policy and Terms of Use. Should you have any concerns about sending your personal details using the web, please use one of the alternative methods offered by our organisation.


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The Medlock Medical Practice

Keppel Building, Failsworth Health Centre, Ashton Road West, Failsworth Manchester, M35 0AD

  • 0161 357 1610
  • gmicb-old.icgmedlock@nhs.net
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