Please fill in your details below.
Any fields marked with * must be completed
If you are signing someone else up to the service, please enter their details below.
By completing this form you are nominating PillTime as your NHS pharmacy. Please indicate whether you are providing consent for yourself or are authorised to provide consent for someone you care for
I am completing this form on behalf of...
I have consent to sign up this patient and understand PillTime may need to contact me to confirm consent and details
As registered with your GP
We may need to contact you about your prescription
Providing your NHS number helps us to nominate PillTime as your chosen pharmacy.
Please enter the address that you would like your medication delivered to.
Do you need your prescription in the next 12 days? If so tick this box.
Please note that the date on your first pouch will be 10 days away from the date that we receive your first prescription. It normally takes 2 days for us to receive a prescription from your GP surgery, so you will need to have enough medication to last you 12 days for us to dispense your very first prescription. If you do not have this much medication left, you will need to get your medications from your local pharmacy on this occasion. Don't worry! You can still continue to sign-up to PillTime. We will wait for 12 days before informing the NHS that we will be your pharmacy, and we can then provide you with your medication when it is next due.
Our service works best when all of your medications can be ordered at the same time on a monthly basis. Unfortunately, we are unable to accept weekly prescriptions. If you are currently on a weekly prescription, you will need to arrange for a monthly prescription with your GP.
Regarding your first prescription from PillTime:
If you are due your medication within the next 12 days, on this occasion you will need to order your prescription and collect your medications from your existing pharmacy. We can then assign you to PillTime in 12 days time, so you can complete the registration process now. When you place your next prescription order (after collecting from your existing pharmacy) the prescriptions will then come to PillTime.
If you are due your medication within the next 17 days, we will need to send your first order to you in original packs (not pouches). Don't worry! This is just for your first order. Please place your prescription order at your GP surgery as soon as you complete the PillTime sign-up process.
If you have 18 days worth of medication or more, great news! We will pouch your medication for your first order. Please place your prescription order at your GP surgery as soon as you complete the PillTime sign-up process.