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Forms Unavailable Due to Website Maintenance

Forms will be unavailable for up to two hours, between the hours of 14:00 and 16:00 on 14th March 2025. 

We are very sorry for the inconvenience caused during this time.  

Nominate a pharmacy

Use this service to nominate a pharmacy to send your prescriptions to electronically.

You can use this service if you:

  • are registered at the surgery

Before you start

We’ll ask you for:

  • your first and last name, date of birth, sex, postcode, email and phone number
  • if applicable, the details of the person you are completing the form on behalf of
Start now

You can also:

  • phone us on 0121 747 3586
  • visit any pharmacy that accepts repeat prescriptions