By registering with Giles Pharmacy you can order repeat prescriptions

You will only need to register once. Please fill in the registration form below. Once we receive this we will give you a 'Patient Medication Record Number' which you will be able to use to order repeat prescriptions online.

Name

Address

Date of Birth

Phone Number

GP Surgery

E-mail

(Your PMR number will be e-mailed to this address)

tick this box if you DO NOT want to receive any future promotional advertising or surveys from Giles Pharmacy.

Giles Pharmacy keeps personal information safe, we do not pass on any information to any 3rd party. If you have a query please don't hesitate to contact us.

   


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