Medication Question Form

Please note this form is not for requesting medication

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.

The practice will contact you within 72 hours with an update regarding your medication question.  

Last Updated: 24/01/2024

  • Personal Details

    Date of Birth
    For example, 15 3 1984

  • Medication Question

  • Consent

    This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow Waterfront Medical Centre to contact you, and to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy for more information on how we protect and manage your submitted data. I consent to Waterfront Medical Centre collecting and storing my data submitted via this form.
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