Request a Prescription

Existing patients at Omniya Clinic

At Omniya Clinic, we prioritise your convenience and strive to provide a seamless experience from the moment you book an appointment to receiving your medication. Our in-house dispensary ensures that you can access the medications you need promptly and efficiently.

If you would like to request a new prescription, please complete the form below with the required details. Our team will process your request as quickly as possible to ensure continuity of your care.

Request a prescription form

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Practitioners name*

Full name*

Date of Birth*

Phone number*

Email address*

Address*

Address Line 1 Address Line 2 City Post Code Country

Last appointment date*

Patients who have not been seen in the last 6 months may need to book an appointment.

Do you have your next appointment booked?*

Please note: We cannot issue repeat prescriptions if you do not have an appointment booked.

Yes

Medication Request*

Use the + button to add more than one medication request

Medication Name

Strength

Dosage

Quantity Requested

How do you want to receive your medication?*

To collect in person

To be posted

To be couriered

Additional comments/instructions

Upload documents

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Max. file size: 128 MB.

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Once you have submitted your form

After you have submitted the form above, please allow 24 to 48 hours for a response, although we aim to get back to you as soon as possible. Our dedicated team will promptly forward your request to your practitioner. Upon approval, our pharmacist will proceed to prepare or order your prescribed medication.

Please note that prescription requests made outside of a scheduled appointment are subject to a £30 prescription fee. You will receive a secure payment link to complete the transaction for the prescription fee, as well as a link for any approved medication costs.

In the event that your doctor deems it necessary to discuss your prescription further, you will be promptly notified to schedule an appointment.

Thank you for your cooperation and understanding. We are committed to ensuring your healthcare needs are met with the utmost care and efficiency.

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Request a Prescription

Request a prescription form

Once you have submitted your form

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