Please ensure the details you provide match those you are registered with at your NHS GP surgery.

We are currently not taking on new patients but if you would like to register your interest please do so using the following form.

Our services are currently only available to patients that are registered to an NHS GP surgery in England.

First Name

Last Name

Address Line 1

Address Line 2

City / Town

Postcode

Date of birth *

Phone

Do you pay for your prescriptions?

Yes - I pay NHS prescription charges

No - I have 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 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