Close this search box.

Upload evidence of medication

Upload evidence of current medication
Please use format day/month/year e.g. 12/05/1979

Maximum file size: 10MB

We accept a prescription form from previous surgery, a list of the items or a pictures of the medication boxes.

Privacy Policy

This form collects your name, date of birth, email, other personal information and medical details. This is to confirm you are registered with the practice, to allow the practice team to contact you and also to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.