SIGN UP FOR OUR SERVICES

 

Here, you can conveniently sign up for one of our services.

We will then be in touch to arrange a suitable time.

 

CHEMIST:
NAME: A value is required.
ADDRESS: A value is required.
TELEPHONE: A value is required.Invalid format.
EMAIL ADDRESS: A value is required.Invalid format.
DATE OF BIRTH: A value is required.Invalid format.
SURGERY: A value is required.
SERVICE: A value is required.
NOTES:

 

CONFIDENTIALITY - TERMS AND CONDITIONS:
The internet is not secure, and the transmission of data to request medication is entirely at the patient's own risk.

Swettenham Chemists accepts no responsibility for breaches in confidentiality resulting from patients' transmissions.

Please make a selection. I accept the terms and conditions above.

As soon as you press send your interest will be emailed to the selected chemist.

Please check your entries above before you proceed.

If you are signing up for our repeat prescription service we will donate £5 to Children in Need if you have not used the service previously.