Please provide an email address and password to use on your account. You must be able to receive emails on the address you provide.
Please enter your details or the details of the patient you are representing below.
We will use your email address as our primary point of contact. If you provide us with your mobile number, we will also send you relavent information via text message. Your details will not be shared with anyone else.
Please enter your home address in the fields below.
Charge Exemption Status
Please select from the below options if you are exempt from prescription charges.
Please search for your surgery using the options below. If your surgery is not listed, please enter the details manually.