Continence Repeat Prescription Form

This Repeat Prescription form is ONLY for use by registered service users of NHS Lothian Continence Care Service; to order continence products based on a current prescription and any product changes should be discussed with a community nurse who can alter the prescription.

This online form will be the ONLY accepted method for NHS Lothian's Continence Care Service to receive an online request.

It is important that we receive a fully completed online form containing the correct data otherwise a Continence Prescription cannot be issued.

Please allow two working days for your Continence Prescription to be ordered. Home Delivery of Continence products can take up to a further 12 days to arrive.

Please enter the above code

Last Reviewed: 29/09/2017