Gray's Inn, Vauxhall, Daleham Gardens, Fortune Green, Old Kent Road
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Prescription Request Form
Link to Contraception Request Form
Please allow 2 working days before collection, thank you
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Which practice are you registered with?
Gray's Inn Medical Practice
The Vauxhall Surgery
Daleham Gardens Health Centre
Fortune Green Practice
First Name
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Last Name
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Date of Birth
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Address
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Mobile Number
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Home Telephone
Email
Medication Required
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Nominated Pharmacy
Gray's Inn Pharmacy - 81 Grays Inn Rd, WC1X 8TP
Osbon Pharmacy - 143 Lambeth Walk - SE11 6EE
Tesco Pharmacy - Kennington Lane - SE11 5QU
Hills Pharmacy - 99 Kennington Lane - SE11 4HQ
Medimex Chemist - 222 Kennington Park Road - SE11 4DA
Lloyd's Pharmacy in Sainsburys - 62 Wandsworth Road - SW8 2LF
Vitelow Pharmacy - 26 Clapham Road - SW9 0JG
Other [please include name and postcode]
We can send your medication electronically to a nominated pharmacy of your choice to be ready for collection
Nominated Pharmacy [Other - please specify name and postcode]
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Opening Times
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