IF YOU HAVEN'T VISITED US BEFORE AND ARE ON REPEAT MEDICATION,
PLEASE SPEAK WITH YOUR LOCAL DAY LEWIS PHARMACY OR GP TO NOMINATE US.
FOR ELECTRONIC PRESCRIPTIONS ONLY. TO REGISTER FOR THE DAY LEWIS SMS SERVICE, PLEASE FILL OUT THE FORM BELOW:
First Name is required.
Last Name is required.
Date Of Birth is required.
NHS Number is required.
Mobile Number is required.
Email Address is required.
Postcode is required.
I would also like my carer to be informed by text when my medicines are ready to collect.
Carer First Name is required.
Carer Last Name is required.
Carer Mobile Number is required.
I give Day Lewis pharmacy permission to contact me regarding relevant services to help me manage my health. We take our patient's privacy seriously and will never share your personal or medical information with third parties.
Patient consent is required.