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4Questions

HIPAA

Compliance

  • 1
    Please select ONE of the following options that best describes your visit to our pharmacy today
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  • 2
    Please provide us with your name
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  • 3
    On average the next available pharmacist will contact you on the mobile phone number you provided us within the next 5-10 minutes.
    Please Select
    • Please Select
    • Inside the Pharmacy Today - You declare you are not unwell
    • Contactless Collection Today - My Car
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  • 4

    COVID-19 Rapid Antigen Tests

    COVID-19 Rapid Antigen Tests

    Buy Now

    (by clicking this link a new browser window will open, and you will be directed to our online store to complete your purchase)

    Note: When you have completed your purchase RETURN to this page and click SUBMIT if you wish to let us know that you're ready for us to bring your test to you. 

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  • 5
    {welcomeTo1} please select ONE of the following options
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  • 6
    {welcomeTo1} please select ONE of the following options
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  • 7
    {welcomeTo1} please list all of the Non-Prescription Medicines that you need today
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  • 8
    {welcomeTo1} please provide us with as much information as you can to help us serve you today
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  • 9

    Book your next vaccination delivered by our pharmacists

    Book Now

     

    (by clicking this link a new browser window will open, and you will be directed to our booking calendar to choose a time that works best for you)

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  • 10
    {welcomeTo1} please provide us with as much information as you can to help us serve you today. Please note that in order to complete this service you must have: 1) Your own pen 2) Have completed ALL areas EXCEPT the signature 3) Have Photo ID that includes a written signature 4) Have a Gold Coin or preferred donation to the Good Friday Appeal for the service today.
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  • 11
    {welcomeTo1} please select ONE of the following options
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  • 12
    {welcomeTo1} please take a clear photo of your prescription includes images of both sides or pages. Select the highest resolution image available.
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
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  • 13
    {welcomeTo1} by selecting YES, you are confirming you have received an SMS notification that your medicine is ready for collection. If you haven't please select NO, and you will be re-directed back to the Menu to choose an alternative option.
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  • 14
    {welcomeTo1} please CLICK the link that has been sent to you. Once the link has been clicked, it will take you to a web page with a QR Code. Please scroll to reveal a button UNDERNEATH the QR code which will be called COPY TOKEN. Click this button and the prescription code will be copied to your clipboard. Please paste this code in the box below (Note: if you have more than 1 prescription, please paste each code (separated by a space) in the box below. If you have any difficulty completing this TYPE HELP in your response below and we will CALL you to assist once you have clicked SUBMIT.
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  • 15
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