Amersham Health Centre

1. By sending us your computer slip with a stamped addressed envelope and ticking the items required. Correct use of this slip is a great help to our staff.

2. By leaving your computer slip at reception after ticking the items required and picking up the prescription 48 hours later. Extra time should be allowed for weekends and bank holidays.

3. By faxing details of the items required to us on 0844 499 6976 and picking up the prescription 48 hours later plus extra time for weekends and bank holidays.

4. By email enter your details and required medication on the repeat prescription request form below and then click on submit. Please allow 48 hours before collecting your prescription.

Always order your prescription in good time - don't wait until your tablets have gone. We regret that we do not allow our staff to take prescription requests over the telephone, to avoid the possibility of dangerous mistakes.

Some chemists will collect your prescription from the surgery for you.

REPEAT PRESCRIPTION REQUEST FORM * = Required field First Names: * Last Name: * Date of Birth (dd/mm/yyyy): * Email Address: * Phone Number:   Home Work Mobile Your Usual Doctor: Please Choose... Dr Alan C Dellow Dr Simon G Thompson Dr Andrea Wood Dr Nicola J Bennett Dr Clare Gabe Dr Vimmi Passi Please tell us the drugs you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip. Drug Name Strength * If you require more than 10 items, please submit another request. Collection Point : Please Choose... Surgery - 48 hours Collins & Jervie - Shop Collins & Jervie - Surgery Tescos Boots FMY Little Chalfont * Comments: (any comments that you may have about this service, or additional medication) CONFIDENTIALITY - TERMS AND CONDITIONS: The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The practice accepts no responsibility for breaches in confidentiality resulting from patients' transmissions. I accept the terms and conditions above*

HOW DO I...
Obtain A Sickness Certificate?

Under current legislation a patient 'self certificate' is used for the first six working days (ie one week including Sunday) of any illness. The self certificate (form SC1) is available from the health centre, your employer or the Post Office.

After the first week, certificates are obtained as part of a consultation with your doctor. If you are under the care of a hospital doctor either as an inpatient or outpatient, you should ask the doctor in the hospital for your certificate.

Some employers insist on sickness certificates for illness lasting less than seven days. As this is not a statutory requirement, it is considered a private arrangement and a charge will be made for issuing a certificate.