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Your Personal Details

Doctor's Details

Your Address

If you are certain that medicines delivered through your letterbox will reach you without being intercepted by a third person, pets or children, we can, with your consent, deliver certain medication to you without signature.

My property is safe and I give you consent to post medicines through my letter box

Your Password

Eps Nomination

I understand NHS electronic prescription service and would like My Own Chemist to be my nominated pharmacy. I understand that by signing this form I give consent for my prescriptions and information about my repeat medicines to be sent electronically between my GP surgery and My Own Chemist.
NHS Number (If known)

Managing repeats

I will order my repeats directly from my surgery
I want My Own chemist to manage my ordering automatically. Enter date in which medicine due
(you can email or call us for any out of cycle requests)

Note: If your surgery is not yet EPS ready, you will have to collect your prescription from your surgery and post it to Freepost MY OWN CHEMIST. In some cases your surgery may be happy to do this for you however they are not obligated to do so.


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