NHS Prescriptions

Nominate Our Pharmacy

Send your nomination details to Bessacarr Pharmacy and we’ll review your request as quickly as possible.

Simple online request Reviewed by our pharmacy team Secure and mobile friendly

Why nominate us

Fast support for repeat prescriptions

We keep the process straightforward so you can complete your nomination in minutes.

3 min Average time to complete the form

1 team Local pharmacy staff reviewing each request

Before You Start

What We Need From You

Use the form to send your personal details, contact information, and NHS prescription details. Keep the notes short and clear so we can process your request without delay.

Personal details Name, date of birth, address, and postcode.

Prescription details NHS number and exemption information.

Complete the form Enter your details and check everything is accurate before submitting.

We review it Our pharmacy team checks the request and may contact you for clarification.

Good to know

Keep your NHS number and exemption details nearby. That helps us review your nomination faster and reduce back-and-forth.

Need help?

If you are unsure about any field, leave a note in the additional information box and we’ll contact you.

Nomination Form

First Name*

Last Name*

Mobile*

Date of Birth*

Gender*

Nomination Date*

Postcode*

NHS Number

Exemption*

Address*

Nominate Our Pharmacy

What We Need From You

Nomination Form

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