336 Eastcote Lane, South Harrow, Middlesex. HA2 9AJ
Prescription Manager Registration
Kings Pharmacy
Prescription Manager Registration
Login Information
Email
*
Password
*
Confirm Password
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Personal Details
Forename
*
Surname
*
Date of Birth(DD/MM/YYYY format)
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Phone
*
Mobile No
-
[Country code][Mobile number (without first 0), no space, brackets or dashes]Example:[44][1234567891]
Address Line1
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Address line2
Town
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County
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Postcode
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Second Address
Address Line1
Address line2
Town
County
Postcode
Surgery Details
Your Doctors' name
*
Your Surgery
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Select...
Other(If any?)
Your local Pharmacy
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Select...
Kings Pharmacy
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Please tick this box to indicate you agree to the statement below
By registering and using our online prescription manager you are hereby agreeing to nominate Kings Pharmacy to receive your electronic prescriptions and to transfer any prescription requests via means of electronic transfer.
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