Terms & Conditions.
I am the patient named above/carer of the patient named above and understand the NHS Electronic Prescription service.
I confirm that I have nominated FORWARD PHARMACY as my nominated pharmacy for dispensing prescriptions issued by the NHS Electronic Prescription Service.
Please allow 2 working days (not including Saturday, Sunday or Bank Holidays) before collecting items from your nominated Pharmacy.
For more information visit www.hscic.gov.uk/epspatients , your pharmacy or GP practice
The information contained in this form may be used solely for the purposes of helping us give a better service to you the patient and is not used, sold or rented to any third party for marketing purposes.