We accept prescription requests by written request only. Our staff are not permitted to accept verbal requests for medication at any time.  This policy is in place to:

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

We aim to have all prescription requests reviewed within 2 working days.  Please do not attend the practice to collect your prescription before this.

To complete a prescription please complete this form:

Prescription Order Form

Drug 2

Drug 3

Drug 4

Drug 5

Drug 6

Drug 7

Drug 8

Drug 9

Drug 10

I have read and agree to both the CSS Terms and Conditions and CSS General Privacy Statement policies available on this website.

If you wish to download a printable Prescription Order Form then please click here.

Please return the completed form to us by:

Email: info@cssdoctor.ie

Fax: 09066 26242

Post: Castle Street Surgery, Castle Street, Roscommon

Hand delivery: please place in our Prescription Request Box (during opening hours) or through our letterbox (outside of opening hours).

Some important things to note:

  • As a minimum, the patient’s name, date of birth and telephone number must be clearly written on the Prescription Order Form.
  • In some cases, the Doctor may need to see you for a medication review before a Repeat Prescription is issued or you may require a blood test. Don’t worry, we will let you know.
  • We will endeavour to make all Repeat Prescriptions available within 2 working days of a request to do so although the process may take slightly longer during busy periods.
  • Please note that we cannot accept any request for Prescriptions or Repeat Prescriptions over the telephone or verbally.

Repeat Prescriptions cannot be issued by Reception Staff.