Aberlour Medical Practice

Queen's Road, Aberlour, AB38 9PR

Telephone: 01340 871 210

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Zero Tolerance

We are a zero tolerance practice, we request that you treat our staff and premises with respect. We understand that at times you may be frustrated however we are doing our upmost to assist you.

Free Products

We have a supply of free and accessible period products and condoms which can be found at reception. These are available to all patients.

Life Threatening Emergency Call - 999

You should call 999 or go to A&E if you, or someone you know, experiences a life-threatening medical or mental health emergency. These are cases where there is immediate danger to life or physical injury. A mental health emergency should be taken as seriously as a medical emergency. If you feel like you may be close to acting on suicidal thoughts or have seriously harmed yourself, you should call 999 or go to A&E directly if you need immediate help and are worried about your safety

Medication Not on Repeat Online Form

Form Completion

One form submission for each medication required

Please remember that it can take up to 48 hours, or 2 working days for the Practice to process your request; thereafter it can take another day for the Pharmacy to process.

Medication Not on Repeat

This form is to be completed for any medication that is not on your Repeat Prescription

Email
This field is for validation purposes and should be left unchanged.
Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Address
Street Address Address Line 2 City County / State / Region Postcode Country
Email
Telephone contact number*
Please let us know your main telephone contact number
When not to call*
Please let us know when we cannot call you. We cannot guarantee when we can call you. Enter N/A if we can call you at any time
Medication Name*
It is more helpful if the name is copied from the original packaging
Dosage*
Enter the dosage of the medication
How often taken*
How often do you take the medication
Prescriber*
Who prescribed the medication and when?
Reason*
Reason that the medication is taken
Date of last medication*
Date the last medication was prescribed
DD slash MM slash YYYY
Additional Information
Please provide any additional medication that will help the Pharmacist, GP, or Prescribing Nurse with your request
Consent*
I agree to the privacy policy.
Signature*

Apply to register permanently at our Practice

Apply to be a Temporary Resident

Patient consent

Register for Online Patient Services

Order your Repeat Prescriptions via Patient Services

Order Medication that is not on Repeat

Update your Personal Details

Direct Link to Online Patient Services

Annual Contraceptive Pill Review

Opening Times

Monday
08:00am to 06:00pm
Tuesday
08:00am to 06:00pm
Wednesday
08:00am to 06:00pm
Thursday
08:00am to 06:00pm
Friday
08:00am to 06:00pm
Saturday
CLOSED
Sunday
CLOSED

Useful Links

Complaints

Language Line Interpreter Services

NESS Interpreter

Medication Not on Repeat

Travel

Temporary Resident

NHS 111

NHS Inform

NHS Choices

Patient UK

NHS A-Z Conditions

Live Well

Calculate your Heart Age

Check your Blood Pressure Reading

Company
This field is for validation purposes and should be left unchanged.
Patient’s name*
Full name
Date of Birth*
DD slash MM slash YYYY
Place of Birth*
Gender*
- Male
- Female
Contact Telephone Number*
Email Address
Temporary Address Details
Street Address Address Line 2 City County / State / Region Postcode Country
Permanent Address
Street Address Address Line 2 City County / State / Region Postcode Country
Name of Permanent Practice and Registered Doctor*
Temporary Registration Date*
DD dash MM dash YYYY

The date that you are planning to be a temporary registered patient
Number of days staying in the area*
You must tell us how long you are staying in the area
Medical Information
Please let us know anything about your medical condition in order for us to better meet your requirements i.e. allergies etc
Consent*
I agree to the privacy policy
We may require to contact your permanent Medical Practice for your most recent up-to-date medical summary. Please indicate your consent or otherwise
Signature*

Email
This field is for validation purposes and should be left unchanged.
Name*
Prefix First Last
I am a patient of Aberlour Medical Practice and understand I need to give consent for another individual to have access to my medical records and/or to discuss my medical requirements. I understand the contact details of the individual will be recorded on my medical record.
Date of Birth*
DD slash MM slash YYYY
Address*
Street Address Address Line 2 City County / State / Region Postcode Country
Nominated individual - Full name*
Telephone number*
Relationship to patient*
Signature*
I understand if any of the consent contact details change or I wish for them to be removed from my medical record I will contact the Practice immediately.
Date*
DD slash MM slash YYYY

Company
This field is for validation purposes and should be left unchanged.
Online Patient-Services for over 16s
This service is only available for over 16s
Patient Forename*
Patient Surname*
Patient Date of Birth*

Day
Month
Year
Patient's Email*

This email address will be used by the Practice to send you notifications and reminders.
Patient's Mobile Number*
Patient's SMS/Text Consent*
- Yes
- No
Are you completing this form on behalf of the patient?*
- Yes
- No
Forename
Surname
Address (If completing this for a patient)
Street Address Address Line 2 City County / State / Region Postcode Country

We will need to corroborate your details.
Relationship to Patient
Your telephone contact number
Consent*
I agree to the privacy policy.
Consent for Aberlour Medical Practice to use the submitted information to facilitate your request for Patient-Services and to contact you as required.
Signature*
Section Break

LinkedIn
This field is for validation purposes and should be left unchanged.
Name*
First Last
Date of Birth*
Day
Month
Year
Current Address
Street Address Address Line 2 City County / State / Region Postcode Country
Current Landline Telephone*
Current Mobile Telephone
Current Email*
New Address
Street Address Address Line 2 City County / State / Region Postcode Country
New Landline Telephone*
New Mobile Telephone
New Email*
Next of Kin Address Details
Street Address Address Line 2 City County / State / Region Postcode Country
NOK Mobile Telephone*
NOK Landline Telephone*
NOK Email Address
NOK Relationship*
Preferred Pharmacy*
This field is hidden when viewing the form
Smoking Status*
This field is hidden when viewing the form
How many per day?*
Consent
I agree to the privacy policy.
Privacy*
- By using this form you agree with the storage and handling of your data by this website.