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NHS Pharmacy First
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Phone
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Email
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Do you pay for your prescriptions?
(Required)
Yes – I pay NHS prescription charges
No – I have an exemption
Please select an exemption
Over 60 years of age
Under 16 of age
Aged 16 to 18 and in full time education
Maternity exemption certificate
Medical exemption
Prescription pre-payment certificate
Prescription exemption certificate issued by the Ministry of Defence
On Income Support -or- Income-related Employment and Support Allowance
Entitled to or are named on a valid NHS certificate for full help with health costs (HC2)
On Income-base Jobseeker's Allowance
Entitled to or named on an Tax Credit Exemption Certificate
On Pension Credit Guarantee Credit (including partners)
On Universal Credit and meet the criteria. More info: www.nhsbsa.nhs.uk/UC
How would you like to receive your medication?
(Required)
Pouches
Original packs (boxes and bottles)
I understand that
(Required)
I understand that my medication will only be packed into pouches if I have 3 or more medicationns.
The Legal Stuff
(Required)
I agree to the Terms & Conditions and Privacy Policy
I agree to nominate Capsule as my nominated pharmacy for the Electronic Prescription Service
I agree for Capsule to access my Summary Care Record to safely dispense my medication
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