Welcome to Church Street Medical Centre

Opening Hours : Monday to Friday - 9am to 5:30pm
  Contact : 0906481130

We accept prescription requests by written request only.

You can request your repeat medication online or by posting or dropping in your repeat medication card.

Our staff are not permitted to accept verbal requests for medication at any time. This policy is in place to:

  • Ensure maximum patient safety;
  • Ensure that patients are aware of the medications they are requesting;
  • Reduce the risk of prescribing of incorrect or unnecessary medications;
  • Ensure accurate records of patient medication requests are retained; and
  • Minimise human error.

We aim to have all prescription requests reviewed within 3 working days. Please do not attend the practice to collect your prescription before this.

To request your prescription please complete this form:

Order Prescription

Repeat Prescription Request

    Date of Birth*

    Prescription Items Requested

    Item 1 Name*
    Dose*
    Quantity*
    Item 2 Name
    Dose*
    Quantity*
    Item 3 Name
    Dose*
    Quantity*
    Item 4 Name
    Dose*
    Quantity*
    Item 5 Name
    Dose*
    Quantity*
    Item 6 Name
    Dose*
    Quantity*
    Item 7 Name
    Dose*
    Quantity*
    Item 8 Name
    Dose*
    Quantity*
    Item 9 Name
    Dose*
    Quantity*
    Item 10 Name
    Dose*
    Quantity*
    Item 11 Name
    Dose*
    Quantity*
    Choose Pharmacy

    Please pay before ordering, and then complete the Prescription form.

    Single Prescription
    €20.00
    Repeat Prescription 3 -6 Months
    €25.00