New Customers Registration

As a Lawthorn Pharmacy customer with regular medication needs, if you find your time is at a premium why not ask a member of the Pharmacy Team to register you for our Online Repeat Prescription Service.

To register for the service, please speak to a member of our Pharmacy Team to discuss and establish if your individual needs are best suited to this service.

Please complete the following form to register for Lawthorn Pharmacy online repeat order service.


    Customer's Contact Details

    Your Full Name

    Your Contact Number

    Your Email Address

    Your Date of Birth

    Your Address

    Your Delivery and Collection Preferences

    Please provide my regular medication in a Dosette box

    I'd like to sign up to the 24-hour Robotic Collection Point

    Please home deliver my Prescription (Over 70s only)


    Carer's Details (if applicable)

    If registering for someone you care for

    Your Full Name

    Your Date of Birth

    Your Address


    Consent

    I authorise Lawthorn Pharmacy: (Please tick all that apply)
    to manage repeat prescription using the Repeat Dispensing Serviceto collect repeat prescriptionsrequest & collect repeat prescriptions

    From doctor:

    The online service we provide makes it easy for you to manage and reorder your repeat medication online.

    You’ll save time and will receive timely email reminders when your medication is due for reordering. Instead of turning up at the Pharmacy and waiting for your Prescription to be prepared, we will notify you by email in advance that the items you have ordered online are now ready and waiting for you.

    Find out more

    Please feel free to contact us for advice and to find out more about the services we offer instore and online.