Get Your Prescriptions

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We dispense all types of prescriptions, ranging from NHS to Private and to Veterinary.

Speak to a member of our pharmacy team to nominate Radcliffe day and night Pharmacy on your behalf and arrange for your prescriptions to be sent directly to us. Choose one of these easy options to arrange for your prescriptions to be sent to us electronically:

Nominate us through the NHS app by logging in to your NHS app, go to ‘Prescriptions’, nominate a pharmacy, then enter your postcode and select Radcliffe Pharmacy.
Nominate us through your GP by asking your GP to send prescriptions electronically, directly to us.
Nominate us on our website by filling in the form below.

We pride ourselves on our excellent customer service along with the care which we provide to go that extra mile for our customers with our free collection & delivery of prescriptions and repeat prescription services. If you have not already signed up for the free prescriptions & delivery service give our friendly team a call today on 0115 9335 220 or use the form bellow and we will take the hassle out of your prescriptions.

Repeat Prescription Registration/EPS Nomination form

Name

First Name

Last Name

Number

Date of Birth

Address

Country

Address

City / Town

Postcode

NHS Number

Do you pay for prescriptions

If no, state the exemptions that apply

GP Information

Please provide your GP information below.

GP Name

First Name

Last Name

GP's Address

Country

Address

City / Town

Postcode

GP's Number

Statement of Agreement

1. I agree to Radcliffe day and night Pharmacy contacting myself for my GP’s surgery to verify my required prescription items, or to advise me my repeat prescription is ready for collection or delivery.
2. I give my permission for Radcliffe day and night Pharmacy to hold the information provided on this form.
3. Radcliffe day and night Pharmacy may contact you regarding healthcare services offered by the pharmacy.
4. I will contact Radcliffe day and night Pharmacy if i wish to change this agreement. By Submitting this form , you consent to the above statement of agreement.
By Submitting this form , you consent to the above statement of agreement.

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Get Your Prescriptions

We dispense all types of prescriptions, ranging from NHS to Private and to Veterinary.

Repeat Prescription Registration/EPS Nomination form

Name

Address

GP Information

GP Name

GP's Address

Statement of Agreement

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