NHS Prescription Service

Sign Up & Nominate Us

Register with Lansdales Pharmacy for the NHS Prescription Service. Complete the form below to nominate us as your preferred pharmacy and enjoy convenient prescription management.

Prescription Registration

Select pharmacy

Title

First Name

Last Name

Date of Birth

NHS Number

Your Postcode

Address

Email Address

Phone Number

I agree to receive marketing communication

Exemption

I am the patient/patient's representative and would like to register to use the selected pharmacy in this form for the NHS Prescription Service. I understand EPS nomination and nominate Allied Pharmacies to dispense my prescriptions. By signing this form, I give permission for information about my repeat medicines to be sent between my doctor and the selected pharmacy.

If I have stated I am exempt from payment, I confirm I am properly entitled to exemption and that if my entitlement changes, I will tell you immediately.

Signature

Date

Why Register With Us?

Convenient Service

Your prescriptions sent directly from your GP to your chosen pharmacy, saving you time and hassle.

Time-Saving

No need to collect paper prescriptions from your doctor's surgery - everything is handled electronically.

Secure & Safe

Your prescription information is transmitted securely and stored safely in accordance with NHS standards.

Expert Support

Our experienced pharmacists are available to answer any questions about your medications and health.

Need Help or Have Questions?

Our friendly team is here to assist you with any queries about the registration process or our services.

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