Preferred Pharmacy Form

Please select your preferred option for prescription pick-up from the list below – these are the pharmacies that currently collect from the surgery. We will update your record with your choice.

Preferred Pharmacy Form
Please use format day/month/year e.g. 12/05/1979
Preferred prescription pick-up?

Privacy Policy

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.