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General Medical Question

Prescription Question

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Pharmacists are trained experts in the use of medicines. For many questions regarding your medication you’ll find your pharmacy a valuable source of information. You can use the form below to ask the practice a question regarding your medication, such as: When you should take it and what to do if you miss a dose. What the possible side effects are, and what to do if they occur.
Full Name(Required)
First Last
Date of Birth(Required)
Day
Month
Year
Phone Number(Required)
Email Address(Required)
Name of GP(Required)
What is your prescription question?(Required)
What happens to my information?
Personal and medical information about patients registered at Peverell Park Surgery is primarily kept electronically, although some is kept in paper form. Some information will be sent to hospital consultants and other health professionals to whom you are referred by your GP in order to provide continued healthcare and obtain treatment for you. We sometimes use accredited suppliers for our communication with you (please refer to our Privacy Policy), for example when we send recall letters for review clinics or medication reviews. All suppliers we use are checked carefully to ensure they comply with strict confidentiality protocols. To ensure the security of all patient information, all staff that has access to your records is covered by confidentiality clauses in their contracts and the Data Protection Act and the Freedom of Information Act. Our guiding principle is that we hold your records in strict confidence.
Consent(Required)
- I certify that the information I have provided is correct and consent to my personal and medical information being used as stated above.

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Peverell Park Surgery & University Medical Centre

General Medical Question

Prescription Question

What happens to my information?

Check out our CQC report