Treaty Medical operates a policy of accepting repeat prescription requests in written form only.

Our admin staff members are no longer permitted to accept verbal requests for medication at any time.

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

Prescription Request Forms can be delivered to Treaty Medical Centre by the following means:

SUBMIT PAPER FORM

Online Form

Simply fill out the Prescription Renewal form below. We aim to have all prescription requests reviewed within 2 working days.
Please do not attend the surgery to collect your prescription prior to this period.

[[[["field18","not_equal_to"]],[["show_fields","field16"]],"and"]]
1 Step 1
PrescriptionsYou may submit up to 10 prescriptions. On smaller mobile devices please scroll left/right to view all form fields
Medication NameDoseQuantityFrequencyDuration (Max 6 month)
×
(1)
keyboard_arrow_leftPrevious
Nextkeyboard_arrow_right
FormCraft - WordPress form builder

PAPER Form

Please Download the Prescription Request form & send using one of the Four options below.
1. Hand Delivery

(During Opening Hours)

Please place in Request Box at Reception

2. Hand Delivery

(During Closed Hours)

Please post through the letterbox at the front door

3. Post

Please post to:
Treaty Medical Centre, Oakdale House, Ennis Road, Limerick, V94NX4T

4. Fax

Please Fax to

061-323585