Jolon Limited Pharmacy

First Names:

	Please tell us what medication you require. Be specific and check your spelling. Please take all details from your repeat prescription record slip.
	Drug Name	Strength

If you require more than 8 items, please submit another request.

	Drug Name	Strength

Last Name:

Date of Birth:

(dd/mm/yyyy)

Address:

Phone:

Email :

Surgery:

Comments (any comments that you may have about this service)

CONFIDENTIALITY - TERMS AND CONDITIONS
The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk. The Pharmacy accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

I accept the terms and conditions above and understand that by ticking this box I give my consent for ***************** to order, pick up and dispense this repeat prescription.

Opening Hours

We are open 6 days a week. Our opening hours are 9.00am to 13:.00 and 14.00 to 17.30 Monday to Friday inclusive. Saturday opening 9.00 to 13.00

About Us

Jolon Limited, based in Tuckton, Bournemouth, is an independent Numark community pharmacy. It has been operated by Jolon Limited since September 1978.