Nominate a Pharmacy

 
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All questions marked with a * are mandatory

Important

Use this service to nominate a pharmacy to send your prescriptions to electronically.

You can use this service if you:

  • are registered at the surgery
 

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of

You can also:

  • phone us on 0118 940 3939
  • visit any pharmacy that accepts repeat prescriptions
  • use the NHS app
Would you like to sign in with NHS login?

You may have set up an NHS login when using other health websites or apps, like COVID-19 services or the NHS App. We will use details from your NHS login to identify you.

Continue with NHS Login

You can also continue without using NHS login.

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Patient Details
Who are you completing this form for? For example, on behalf of a child or dependent: *
What is the patient's sex?: *
What is your relationship to the patient?: *
What is your sex? As recorded on your medical record: *
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My Chosen Pharmacy is

Not sure what your closest pharmacy is?

Use the NHS Find a Pharmacy tool

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Privacy Consent

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