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Sign up to our pharmacy!

Easy online ordering, free delivery and more...

Signing up to our free delivery service is easy. Take a couple of minutes to complete the form and we’ll get back to you by email right away.

    Personal details

    Title
    Full Name
    Phone (Home)
    Phone (Mobile)
    Email Address
    House/Flat Name or Number
    Street Name
    City
    Postcode
    Date of Birth

    Exemption

    Are you exempt from prescription payments?
    Please upload proof

    Surgery details

    Name of surgery
    Name of GP
    If you are not the patient, please specify your relationship to the patient

    Services required

    By ticking this box you are consenting to your future prescriptions being sent electronically to Mail My Meds. We will then dispense your prescriptions and deliver them to you. You can change this nomination at any time. You are also agreeing to our Terms and our Privacy Policy.


    Please sign here