Pharmabox24 Prescription Collection Sign-Up

This service allows 24 hours a day 7 days a week prescription collection from your local dispensary/pharmacy and available to ALL patients registered with a GP in England.

I wish to sign up for collection from the Automated Prescription Collection Point.

Name

Title First Last

Address

Street Address Address Line 2 City/Town County ZIP / Postal Code

Date of Birth

NHS Number (If known) Optional

Are you exempt from prescription charges?

Yes

If YES – confirm your Exemption Status and any Expiry Date:

Mobile Number

It is essential that you provide your correct mobile number as we will be required to send you an SMS text message each time you have a prescription with your unique PIN.

Email (If Available) Optional

In signing, you accept the responsibility for the security of the PIN information that will be sent to the above mobile number, and that you have received the training in how to use Pharmabox24.

Signature

Date

Terms & Conditions: You will be shown how to use Pharmabox24 fully by our team. Failure to use the service correctly may result in Pharmabox24 being out of service for other people. If this occurs, you may be removed from this service.

Please Note: There may be some medicines which may not be suitable to be collected from the Collection Point. These will need to be collected in person from the pharmacy during normal opening hours.

All information supplied to us will be treated in the strictest confidence and will be stored in accordance with current GDPR and Data Protection Act legislation and in line with NHS Information Governance.

Untitled Optional

Pharmabox24 Prescription Collection Sign-Up

I wish to sign up for collection from the Automated Prescription Collection Point.

Help us improve our website content. How helpful did you find this page?

Thank you for your feedback.