Kings Pharmacy

Nominate Kings Pharmacy for your NHS prescriptions

Complete this form if you would like Kings Pharmacy to dispense your NHS electronic prescriptions. Nomination is your choice and can be changed at any time.

Why nominate Kings Pharmacy?

Kings Pharmacy can dispense NHS electronic prescriptions for patients who choose us as their nominated pharmacy.

NHS electronic prescription dispensing.
Prescription support from the Kings Pharmacy team.
Record keeping and follow-up through our internal manager dashboard.
You can change your nominated pharmacy at any time.

Important This form is for requesting NHS electronic prescription nomination with Kings Pharmacy. Nomination is your choice and can be changed at any time.

EPS Nomination Form

Please complete all required fields.

Title

Full Name *

Date of Birth *

Mobile / Phone *

Postcode

Address

I consent to Kings Pharmacy using these details to arrange my NHS prescription dispensing and pharmacy nomination. I understand that I can change my nomination at any time. *

After successful submission, Kings Pharmacy staff will review your nomination request.