Patient details

To ensure we receive your prescriptions electronically, please make sure all your details entered here match what is registered with your GP surgery.

Do you know your NHS number

This will help us find you on the NHS system. You can find this on any document sent to you by the NHS .

Your Address

Please Enter your home address as registered with your GP. You can set a different default delivery address before you order your prescription, by contacting us by phone or email. We can deliver to any UK address - e.g. work, home, or a trusted friend or neighbour.

Delivery preference

Please click here to read our delivery information, you will always have to sign for fridge items and controlled drugs as these cannot be delivered to a letter box or safe place.

Would you like to receive your medication through your letterbox?...Where possible our medication is packed to fit through a letterbox. However, if this is not possible your delivery can be left in your safe place. If you have no safe place set you will need to be in to sign for the delivery. If you have small children, pets or others who could be at risk in the property, please consider using a different delivery address.

Name: {select-4} {text-1} {name-1}

Email: {email-1}

DOB: {date-1}

Gender: {radio-2}

Contact number: {phone-1}

NHS number: {text-2}

Address: {address-1-street_address} {address-1-address_line} {address-1-city}, {address-1-state}, {address-1-zip}, {address-1-country}

Final step- Complete sign up

Time Pharmacy will check, dispense and deliver your prescriptions free of charge.

• I agree to nominate Time Pharmacy to receive and dispense my NHS prescriptions electronically

Time Pharmacy can access my Summary Care Record to dispense my medication.

• I agree to Time Pharmacy's terms and conditions and privacy policy.

Time Pharmacy would like to keep you up to date with their products and services from their group of companies and selected partners. If you are happy for them to do this by digital communications, please tick the box.

You can manage how you hear from us and change or revoke any setting including your delivery preference at any time by calling or emailing us.
You can opt out of this service at any point by notifying the surgery or pharmacy.