Nominate Us

Switching your NHS pharmacy is quick and simple. Complete this short form to nominate us online, and we will take care of transferring your prescriptions from your GP directly to our pharmacy.

How It Works

Complete the Form Below

Securely enter your details using our quick online form.

We Handle the Setup

We contact your GP to register your NHS EPS nomination.

Receive Your Prescriptions

NHS prescriptions are sent to us, ready for your delivery.

Prefix

First Name

Last Name

Date of Birth

NHS Number

Street Address

City

State/Province

ZIP / Postal Code

Email Address

Phone Number

Name of GP Practice

Yes, I consent to nominate Pillbox Chemists Group as my preferred pharmacy for the Electronic Prescription Service (EPS). This allows my NHS prescriptions to be sent electronically from my GP to Pillbox Chemists Group for dispensing and delivery.

I understand and agree that:

I can change or cancel this nomination at any time by informing my GP or Pillbox Chemists Group.
My personal and prescription information will be shared with Pillbox Chemists Group for dispensing and delivery.
I am responsible for informing Pillbox Chemists Group of any changes to my personal details or delivery address.
This service operates in line with NHS guidance and UK data protection legislation, including GDPR.

Yes, I give permission for Pillbox Chemists Group to access my Summary Care Record (SCR), where appropriate, to ensure that any medicines supplied to me are safe, appropriate, and clinically effective.

I understand that this access will be used solely to support the safe and effective provision of pharmacy services, and that access will only be carried out by a registered pharmacist or authorised pharmacy professional involved in my care.

Yes, I consent to receive my NHS prescriptions via home delivery from Pillbox Chemists Group.

I agree to the Pillbox Chemists Group Privacy Policy .