No Prescription – Park Pharmacy

12.5%

Find your Surgery

Please tell us which surgery you are registered with, so we know who to contact for your prescriptions.

Service is available to patients registered with a GP in England only

Please enter your postcode to find your surgery (required)

25%

Title

First Name (required)

Last Name (required)

Date of Birth (required)

Day

Month

Year

Gender (required)
MaleFemale

37.5%

Contact Details (required)

We need a phone number so we can contact you regarding your medication if needed.

Set up your free reminder - never forget to order

50%

Tell us when you would like your medication to arrive and we will remind you to order in advance.

Day

Month

Year

62.5%

Please note: Free of charge contraceptives will appear at zero price when prescribed.

Do you normally pay for your prescriptions?
YesNo

Please select your exemption type:

75%

Address (required)

[address_geo_autocomplete* address_geo_autocomplete-277 placeholder "Postcode"]

Letterbox Delivery

Would you like to receive your medication through your letterbox?

YesNo

Would you like to set a safe place for Royal Mail to leave your delivery?

YesNo

Please consider setting a safe place in case your parcel is too large for your letterbox.

Please consider letterbox delivery if your property is safe to do so, otherwise, somebody will need to sign for your delivery. If nobody is in, then you can collect your parcel or re-arrange delivery with Royal Mail for free.

I hereby authorise you to collect my prescription and opt-in for you to contact me in relation to the pharmacy products and services.

If you wish to opt out from our repeat prescription service, please contact the Park Pharmacy

87.5%

PATIENT NOMINATION REQUEST

(as part of the EPS Release 2 process)

The Electronic Prescription Service (EPS) is an NHS service. It gives you the chance to change how your GP sends your prescription to the place you choose to get your medicines or appliances from.

What does this mean for you?

If you collect your repeat prescriptions from your GP you will not have to visit your GP practice to pick up your paper prescription. Instead, your GP will send it electronically to the place you choose, saving you time.
You will have more choice about where to get your medicines from because they can be
collected from a pharmacy near to where you live, work or shop.
You may not have to wait as long at the pharmacy as there will be time for your repeat
prescriptions to be ready before you arrive.

Is this service right for you?
Yes, if you have a stable condition and you:

don’t want to go to your GP practice every time to collect your repeat prescription.
collect your medicines from the same place most of the time.
use a prescription collection service now.

No, if you:

don’t get prescriptions very often.
pick up your medicines from different places.
travel or work away from home a lot.

How can you use EPS?
You need to choose a place for your GP practice to electronically send your prescription to. This is called nomination. You can choose:

a pharmacy.
a dispensing appliance contractor (if you use one).
your dispensing GP practice (if you are eligible).

Ask any pharmacy or dispensing appliance contractor that offers EPS or your GP practice to add your nomination for you. You don’t need a computer to do this.

Can I change my nomination or cancel it and get a paper prescription?
Yes, you can. If you don’t want your prescription to be sent electronically tell your GP. If you want to change or cancel your nomination speak to any pharmacist or dispensing appliance contractor that offers EPS, or your GP practice. Tell them before your next prescription is due or your prescription may be sent to the wrong place.

Is EPS reliable, secure and confidential?
Yes. Your electronic prescription will be seen by the same people in GP practices, pharmacies and NHS prescription payment and fraud agencies that see your paper prescription now. Sometimes dispensers may see that you have nominated another dispenser. For example, if you forget who you have nominated and ask them to check or, if you have nominated more than one dispenser.

Patient Full Name (required)

NHS Number (required)

Correspondence Email Address (required)

I am the patient named above. The nomination has been explained to me by staff at my GP practice/community pharmacy/appliance contractor. I have also been given a leaflet about this.

I have read the Nomination Leaflet and understand what I have to do.

I will inform the pharmacy that I have nominated them.

Find your Surgery

PATIENT NOMINATION REQUEST

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