Request Synchronisation of Your Medication Synchronisation of Medication First Name Last Name Date of Birth Day Month Year Post Code Contact NumberMedicationName of medicationDoseStrengthMonthly quantityHow many tablets you have left Add RemoveClick the + to add more fields to list further medicationsDoes your medication come in blister packs Yes No Don’t know Please be aware your medication is prescribed as 28 days but your pharmacy will provide 7 days at a timePlease be aware you will be transferred to an 8 week prescription to help reduce work for the practice and the chemist, costs for the NHS and hopefully is more convenient for you too. If there is a reason other than having blister packs that this is not the right option for you please tell us why below:Please state OptionalDo you take a Controlled Drug? Yes No Don’t Know Please be aware that if you take a Controlled Drug this will need to be requested every month as we are legally not allowed to give more than a months supply at a time. However your other medications will be converted to an 8 week supply.