Electronic Prescription Service

The Electronic Prescription Service (EPS) is an NHS Service that allows your GP to send your prescriptions electronically to any pharmacy of your choice. As the patient, you need to select a pharmacy to which your prescriptions should be sent. This process is called Nomination. You may nominate a pharmacy of your choice and can cancel your nomination at any time. To nominate Reavley Chemist fill in the form below.

Electronic Prescription Service

Your Details

Address *
Address
Address Line 1
Address Line 2
Town/City
County
Postcode
If known
Additional Registrants *

Additional Registrants

If known

Doctor’s Details

Declaration

I understand the service provided by Reavley Chemist and would like to register to use them.

I understand the EPS nomination process and would like to nominate Reavley Chemist to collect the prescriptions on my behalf direct from my GP or via EPS, I give permission for my prescriptions to be sent between my GP and Reavley Chemist by submitting this form.

I understand that providing false information on this form, may lead to legal action being taken against me.

We respect your privacy and as such, Reavley Chemist will only use your information for the process stated above.

Declaration *
  • Royal Pharmaceutical Society
  • General Pharmaceutical Council
  • NHS Services
  • Pharmacy
  • NHS Choices