Please complete the following information to register with Molesey Park Pharmacy. You will be able to request your repeat prescriptions online and for others who you represent.
Please enter the your postcode or name of your surgery
We will contact the surgery you have selected to arrange a prescription whenever you send a request online.
It is important we have the correct surgery on record so that a prescription can be requested.
Please enter the email address and password you wish to use when logging in.
Must be at least 6 characters long containing at least one number and one special character.
Please enter your personal details accurately so we can liaise with your surgery
Please enter a landline and/or mobile number. Without a mobile number we will not be able to send you SMS notifications.
Please enter your home address
Please select your prescription charge exemption status and enter any details if applicable
By registering you are agreeing that you with to submit your prescription requests to, and nominate to receive the prescriptions from your GP surgery the below named pharmacy.
Please review the terms and conditions before agreeing and creating your account
It is important that when registering you enter your details, not the details of a patient you are representing. Click here to find out about registering to represent another patient.
We respect your privacy and will not sell your details to any third parties. The details saved will be used to request your repeat prescription and to contact you about any problems or updates to your orders.
By registering you are hereby agreeing to nominate your selected branch to receive your prescriptions electronically (EPS) from your surgery stated above.
You agree that we will collect either in person, or by means of electronic transfer, your prescription from the surgery shown above on your behalf.
I agree to the above statements and full Terms and Conditions