NHS Prescriptions | Pharmaroo Pharmacy

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Nominate Pharmaroo For Your NHS Prescriptions

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NOMINATE IN 3 EASY STEPS

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EPS NOMINATION FORM

Please take a moment to fill out the form, you only need to do it once, we'll handle everything after that, simple!

First Name

Last Name

Birthday required

Phone Number

Address

I confirm I am the patient/ I am the carer of the patient and have consent to nominate the patient*

I hereby agree that this data will be stored and processed for the purpose of nominating and processing prescriptions and services. I am aware that I can revoke my consent at any time.*

I hereby consent to Pharmaroo Pharmacy processing my nomination request for the Electronic Prescription Service (EPS) and give consent to viewing my Summary Care Record (SCR) to perform clinical checks*

Thanks for submitting, we've sent you a welcome email (check your junk mail just incase) and one of our team members will contact you shortly.

Nominate Pharmaroo For Your NHS Prescriptions

NOMINATE IN 3 EASY STEPS

EPS NOMINATION FORM

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