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Please ensure the details you provide match those you are registered with at your NHS GP surgery.
Our services are currently only available to patients that are registered to an NHS GP surgery in England.
First Name
Last Name
Sex
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Address Line 1
Address Line 2
City / Town
Postcode
Date of birth *
Phone
Email
Do you pay for your prescriptions?
Yes - I pay NHS prescription charges
No - I have an exemption
Please select an exemption
How would you like to receive your medication?
Pouches
Original packs (boxes and bottles)
I understand that my medication will only be packed into pouches if I have 3 or more medications.
The Legal Stuff *
I agree to the
Terms & Conditions
and
Privacy Policy
I agree to nominate Pillo as my nominated pharmacy for the Electronic Prescription Service.
I agree for Pillo to access my Summary Care Record to safely dispense my medication
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