NHS Prescription Service

Nominate Worksop Pharmacy for NHS Prescriptions

Register for the NHS Prescription Service and have your repeat prescriptions sent electronically from your GP straight to us, saving you trips to the surgery and time in the queue.

Complete the form

Tell us your details and choose the pharmacy you'd like to nominate.

We set up EPS

Our team registers your Electronic Prescription Service nomination.

Collect with ease

Your repeat prescriptions arrive electronically, ready to collect.

NHS Prescription Service

Nomination Form

Complete the form to register for the NHS Prescription Service. Once nominated, your repeat prescriptions are sent electronically from your GP straight to us. No paper, no queues.

Faster collection

Prescriptions ready when you arrive

Secure & NHS-approved

Handled to NHS data standards

Expert pharmacist support

Advice on all your medicines

Select pharmacy *

Title

First name *

Last name *

Date of birth *

NHS number

Postcode *

Phone number *

Address *

Email address *

Exemption

I am the patient or patient's representative and would like to register at the selected pharmacy for the NHS Prescription Service. I understand EPS nomination and nominate the pharmacy to dispense my prescriptions. By signing, I give permission for information about my repeat medicines to be shared between my GP and the selected pharmacy.

If I have stated I am exempt from payment, I confirm I am properly entitled to exemption and that if my entitlement changes I will tell you immediately.

I agree to receive marketing communications about services and health advice.

Signature *

Date *