Stopping Medication

It’s important that your medical records are up to date and that you inform us if you have stopped taking any repeat medication. Please use this form to tell us if you are no longer taking a medication and the reasons why.

About You

Please use this date format: DD/MM/YYYY.

We will only use this email address for correspondence in relation to this request and will not sell it onto third parties.

Repeat Medication Stopped

Item Description
Strength
Quantity
Reason for stopping