Order Prescription

Guide to Upload Prescription

Step 1: Complete the information in the box Your name and Your phone number. This will make it easier for the pharmacy consultant to get back to you and provide more detailed information.

After completing the above steps, the system will return a notice confirming successful form submission. Please wait a short time until the pharmacy staff call and advise you of more details.

Need help? Call us 01274 496075

Prescription Details

Full Name(Required)
Address(Required)
MM slash DD slash YYYY
GP Address(Required)
Patient Represntative
(Required)
(Required)
Terms
Delivery Options(Required)

    Drag and drop or click here to upload prescriptionJPEG, JPG, PNG & PDF supported. Maximum file size – 6MB






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