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Care home – prescription request

Important: For care home use only

This form should only be completed by care home staff on behalf of their residents, who are registered patients of Chipping Norton Health Centre.

If you are a patient or need to contact us directly, you can phone us on 01608 642742.

Care Home – Prescription Request

If you need to speak to Chipping Norton Health Centre, please call 01608 648825 to use the bypass line and speak directly to a care navigation team member.

If the named GP for the care home you are contacting us from is not in clinic, another GP or an advanced care practitioner may handle your contact on the GPs behalf.

The more information you give the team the easier we can resolve the problem.

Please remember the phone lines do not open until 08:30 and close at 18:30 weekdays and we are closed at weekends when you must contact 111 for out of hours services or 999 in a life threatening emergency.

Section

Care Home Details

Type of request: *
Has the patient ever had this item before? *
Please select one of the following: *

Medication Required

Item Description
Strength
Quantity