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PSYCHIATRIST DR SASHA HVIDSTEN
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Child Psychiatrist
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ADHD
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Autism
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Repeat prescriptions
In order to receive a repeat prescription from us you will need to have regular follow up appointments. These cannot be provided for patients who have not yet been seen and assessed.
Please complete the boxes below to make a request
Order your repeat prescription here
*
Indicates required field
Name
*
First
Last
Date of Birth
*
dd/mm/yyyy
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Name of medication
*
Amount required
*
Please state the number of days of the medication(s) you require If ordering more than one medication please specify amounts needed of each item. Please note ADHD medications can only be provided for a maximum of 30 days
Dose of medication required
*
If you are ordering several medications please state the dose needed for each one
Choose One
*
Prescription only
Send prescription in the post (CloudPx)
There is a £25 fee charged for every prescription written.
If you prefer you can have medication delivered to your door - we are pleased to use CloudPx a licensed pharmacy that will dispatch medication to your home address. Once your medication has been prescribed CloudPx will contact you.
Please tick to confirm you consent to us sharing your information with CloudPx to allow dispensing of your medication
*
yes
Submit
Home
Contact
Child Psychiatrist
information centre
ADHD
Help
Autism
Recommended Resources
Repeat prescriptions