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.

Your prescription will be sent electronically and directly to your elected pharmacy – there is no need to attend the practice to collect the prescription in person.

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

    Post: Castle Street Surgery, Castle Street, Roscommon

    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.