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Prescriptions in Sherburn Village

Are you in need of prescriptions in Sherburn Village or the surrounding area?

Our prescription service is fast, efficient and saves you time. We automatically get your NHS Prescriptions from your GP’s surgery.

It enables us to prepare your medication in advance of your collection or delivery. You can then pick up your prescription from our pharmacy in Sherburn Village or contact us to have it delivered for free.

If you’d like to sign-up to our prescription service, please fill in the form below, give us a call or speak to us when you are next in the pharmacy.

 

    Title*

    Full Name*

    Phone (Home or Mobile)*

    Email Address*

    Address Line 1*

    Address Line 2

    Address Line 3*

    Postcode*

    Date of Birth*

    NHS Number*

    Name of Surgery*

    Name of GP

    If you are not the patient, what is your relationship to them?

    Collection or delivery?

    Your signature (draw on screen)