If you wish to change prescription collection point, please input your details into the form below and click the change button.

	Please fill in ALL the fields in the grey boxes.
	Use the TAB button on your keyboard, or use your mouse to the next box. Please do NOT hit Enter on your keyboard. If you do this, you will be told you have not filled in the form correctly and asked to do it again.
	Your request to change your collection point will be dealt with within one week of your request. Please bear this in mind if you have recently ordered a prescription. This change is NOT instant.
	Please try to keep changes to a minimum to avoid any confusion.

Important
You must accept the Terms and Conditions of this service and tick the checkbox at the bottom of this form. You will not be able to use this form without accepting our Terms and Conditions of Service.