Repeat Thyroid Prescription
Email
Full Name
Phone Number
Date of birth
Requested medication
How much medication do you have remaining?
Do you have any symptoms that are concerning you?
Has your health recently changed in any way, or have you prescribed any new regular medications?
Have you had a recent change in your thyroid medication dosage? If so, when?
Have you had an in-person review for your thyroid management / medication review within the last 12 months?
When were your last thyroid function blood tests?
If you have had any thyroid function blood tests outside of our organisation e.g within the nhs, since your last review please attach them here:
Select a File
You can also email these directly to info@myspecialistgp.co.uk
Submit