Electronic Prescription Service – Nominate Click 2 Pharmacy

Complete the form below to nominate Click 2 Pharmacy to receive your prescriptions electronically from your GP. Our friendly UK team are just a call away if you need any help or advice.

Your First Name*

Your Last Name*

Date of Birth*

Address Line 1*

Address Line 2

City*

Postcode*

I confirm that it is safe and suitable for medication to be post through the letterbox, subject to size.

Do you pay*

Yes - I pay for my prescriptions No - I'm exempt from paying for prescriptions

Reason*

Phone*

Who are you?*

The patient" The patient's representative

I understand the electronic prescription service and want to register to use it. I agree to nominate Click 2 Pharmacy to collect my prescriptions either via EPS or directly from my GP. I agree that by proceeding, I permit information about my repeat medicines to be sent between my doctor and Click 2 Pharmacy. *

Electronic Prescription Service – Nominate Click 2 Pharmacy

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