Copy exactly the details from a prescription slip you have received from the practice.
Please note that items will only be dispensed if they are included in a prescription from the practice and a medication review is not pending.
This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.
