Change Collection Point

If you wish to change the collection point for your prescription, be that a chemist of the surgery, please input your details into the form below.
 

 

Please fill in all 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. This is NOT an instant change. Therefore a recently requested prescription may be waiting for collection at your previous collection point.

 

Please try to keep changes to a minimum to avoid confusion.

Important
You must accept the Terms & 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 & Conditions of Service.

Please leave blank

Your Details

First Name
*

Surname*

Date of Birth*


 

Your Collection Point

New Collection Point


Terms & Conditions

I accept the Terms & Conditions of Service*

 

 

 

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