Please note, after your initial sign up we will need to request your prescription from your Doctor so please allow up to 10 working days to receive your initial prescription. This process is then automated and we will work out your date when your prescription is next due and will request it from your GP surgery on your behalf.

***Please be aware before signing up for our NHS repeat prescription service that we are unable to fulfill repeat prescriptions for Controlled Drugs ***

Basic Info

*Title

*Gender

*First Name

*Last Name

*Email

*Date of Birth

NHS No.

*Password

*Repeat Password

Address Info

*Address Line

Address Line 2

*Town

County*

*Postcode

Country*

*Mobile / Landline

Exemption

* Expemtion Exemption is required

Cerificate Please upload the image of Your certificate!

Click or drag files to upload

Expiry Date Please add your exemption certificate expiry date!

Doctor Details

To find doctor surgeries in your local area, please; type your postcode into the field below;

Postcode:

*Doctor Details If your surgery is not found please enter the details manually into the Doctors Details field above

Contact by Fax Contact by Mail Contact by Email Other Contact

First Delivery Date

Condition which this prescription is for

List of medications that have been requested / prescribed

I agree to nominate NationWide Pharmacies as my nominated pharmacy to manage my NHS repeat prescriptions

I give the permisison to access my patient Summary Care Record

Basic Info

Address Info

Exemption

Doctor Details

About Us

Information