Neurodevelopmental Paediatrics Repeat Prescription Request Form- Alder Hey Hospital

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Repeat Prescription Request Form

*Please note* - this is for repeat prescriptions only

Do NOT complete this form if your local GP has agreed to 'shared care'. Please request medications on the shared care agreement through your GP. You will know if your child is on shared care if you have received a letter about this.

Please complete this form to request your child's medication. Complete as much of the information as accurately as possible. A delay will be caused if we need to clarify this information. We aim to send out your prescription to your home address or local pharmacy within 2 weeks of making the request.


You will receive a text message once your script has been dispatched to your requested location. Please allow 2 working days for delivery from this point. Melatonin/Circadin prescriptions may take up to 5 working days as they are dispensed by Alder Hey Pharmacy.

If a child has had a private diagnosis of ADHD or ASD, Community Paediatrics would not see the child to confirm the diagnosis. If a parent/carer wishes to commence medication for ADHD, as a service, health would need to see the full assessment to ensure it meets NICE guidelines before accepting for consideration of medication.

If the private assessment does not meet the criteria, health would need to reassess following the usual school pathway.

Who to contact

0151 252 5337 0151 252 5337
Repeat Prescription Request - Alder Hey Hospital

Last Updated

Last updated: 08/04/2024


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