> ## Documentation Index > Fetch the complete documentation index at: https://docs.adhdsimple.co.uk/llms.txt > Use this file to discover all available pages before exploring further. # Create Prescription > Complete guide to creating and managing prescriptions for patients ## Navigate to Patient Navigate to the patient's detail page from the Patients list or search for the patient by name. Patient detail page showing Sarah Johnson's information and Create New Prescription button Click the "Create New Prescription" button in the Prescriptions History section. Empty prescription dialog showing the 3-step process: Prescribe, Payment, Print ## Step 1: Prescribe Medication Click the "Add Item" button to select medication from the available options. The prescriber information (Harry Katsu) is automatically populated based on your logged-in account. Fill in the required information: * **Medication**: Select from the medication library (e.g., Concerta XL - 18mg) * **Quantity**: Enter the number of tablets/doses (e.g., 28) * **Instructions**: Provide clear, detailed instructions for the patient Completed prescription form with Concerta XL selected, quantity 28, and detailed instructions Always include specific timing, food requirements, and safety instructions in the medication instructions. Check the prescription preview on the right side to ensure all information is correct before proceeding. The preview shows: * Patient details (age, DOB, NHS number) * Medication and dosage * Instructions * Prescriber information * Date and signature area Click "Continue" to proceed to the payment step. You may be prompted to update the patient's active medications. Select "Add to Active Medications" if appropriate. Payment step with active medication update dialog showing option to add prescribed medication to patient's active list ## Step 2: Payment Processing Review the prescription fee breakdown: * Re Scripting Fee: £52.00 * VAT @ 25%: £13.00 * **Total**: £65.00 Due Payment step showing fee breakdown with total of £65.00 due Click "Continue" to move to the final print step. ## Step 3: Print & Delivery Select how the prescription should be delivered: **📱 Send via ADHD Simple** * Send prescription directly to patient via the ADHD Simple app * DHL pickup scheduled automatically from clinic * Pre-generated tracking numbers provided **👤 Hand to Patient** * Hand prescription directly to patient in person * No scheduling required Print step showing delivery options: Send via ADHD Simple or Hand to Patient If you chose "Hand to Patient", select the printing method: **🖨️ Physical Print** * Print directly from your browser to a connected printer **📦 Bulk Print** * Add to bulk printing queue for processing multiple prescriptions together **✍️ Handwritten** * Mark as handwritten if you've already written the prescription manually Final print options showing Physical Print, Bulk Print, and Handwritten options Click "Complete Prescription" to finalize the process. The prescription has been successfully created and the patient's records have been updated. ## Verify Completion After completion, verify that the patient's records have been updated: **Active Medications** * New medication appears in the Active Medications table * Shows dosage, quantity, instructions, and start date **Prescriptions History** * New prescription appears with order number * Status shows as "Prescribed" * Created by information is recorded **Patient App Requests** * Existing requests automatically update to show "Prescription Created" status * UI refreshes automatically when prescription dialog is closed Patient page showing updated active medications and prescription history after successful completion ## Important Notes * Always double-check medication dosages and instructions before completing * Ensure patient information is accurate and up-to-date * Verify that the prescription meets all regulatory requirements **Patient Notifications**: Patients receive notifications via email and mobile push notifications when prescription status changes (e.g., when you approve a prescription and it changes from "draft" to "prescribed"), not when the prescription is initially created. This ensures patients are only contacted when there are meaningful updates requiring their attention. Notification emails and push notifications are sent to patients when prescriptions reach the following statuses: * **Prescribed** - When you approve and sign the prescription * **Dispensed** - When the pharmacy prepares the medication * **Dispatched** - When the medication is shipped to the patient * **Delivered** - When the medication arrives at the patient's address All notifications respect the patient's notification preferences, which can be managed through their patient app account. Patients have granular control over: * Email notifications (enabled/disabled) * Push notifications (enabled/disabled) * Specific notification types (per prescription status) * Marketing communications (separate opt-in required) Email notifications include a link to their patient app at `app.adhdsimple.co.uk`, while push notifications appear directly on their mobile device with relevant prescription details. * Use the bulk print option for processing multiple prescriptions efficiently * Consider using the ADHD Simple app delivery for better patient tracking * Keep detailed records of all prescription activities for audit purposes ## Troubleshooting **Issue**: Medication not appearing in the library * Contact your pharmacy administrator to add the medication to the library **Issue**: Payment calculation seems incorrect * Verify the clinic's fee structure in Settings * Check if VAT rates have been updated recently **Issue**: Print function not working * Ensure your browser has print permissions enabled * Check that your printer is connected and has paper/toner **Issue**: Patient not receiving app notifications * Verify the patient's app connection status * Check if they have accepted the app invitation