User Register

All boxes are mandatory, unless stated otherwise.

Your Details

This must be at least 6 characters, including one number and no special characters (e.g. !?.,)
Address Details
Work Address Details

This is only needed if you require the option to have your prescriptions delivered to a work address

Account Information

Prescription Charges

Please select from below

If exempt from paying Prescription Charges, please select the exemption reason from below: