Sign up now for our FREE NHS PRESCRIPTION SERVICE

Title:

First Name:

Last Name:

Gender:

Date of Birth:

NHS Number:

Email:

Phone Number:

Post Code:

Pharmacy:

I am the patient named above/carer of the patient named above.
I would like Browns Pharmacy to be my nominated pharmacy.
I have read the information above and understand it:

When you sign up, we will send you a text link for our

prescription ordering app for the branch you choose.

Our app helps with ordering and tracking NHS repeat

prescriptions but don't worry, if you don't want to

use our app to order prescriptions, you don't have to!