Prescriber Registration

Complete the form below to apply for prescriber access. Your credentials will be reviewed before access is granted.

Personal Details

First Name *

Last Name *

Date of Birth * You must be at least 18 years old to register.

Gender *

Email Address *

Phone Number *

Home Address Line 1 *

Home Address Line 2

City *

Postcode *

Professional Details

Professional Title *

Prescriber Type *

Regulatory Body *

Registration Number *

Prescribing Speciality

Current Place of Work / Practice Name *

Practice Address Line 1 *

Practice Address Line 2

Practice City / Town *

Practice Postcode *

Practice Phone Number *

Are you registered with RQIA?

Yes No

Credential Uploads

Accepted formats: PDF, JPG, PNG, HEIC, HEIF. Maximum file size: 10 MB each.

Proof of Identity *

Passport or driving licence.

Proof of Regulatory Registration *

e.g. GMC certificate, NMC PIN letter.

Indemnity Insurance Document *

Must show cover dates and scope.

Declarations and Consent

Please read and confirm all of the following statements before submitting your application.

I am a registered prescriber in the UK and my registration is current and in good standing.
The information submitted is accurate and complete.
Prescriptions issued via this platform are my clinical and legal responsibility.
I agree to the platform's prescriber terms and conditions.
I agree to the pharmacy's prescribing governance policy.
I consent to my details being verified by the pharmacy.
I have read and agree to the Privacy Policy.

I confirm I have read and agree to all of the above declarations.

Account Setup

Create a password for your prescriber account. You will use your email address to log in.

Password *

Min. 8 characters, including an uppercase letter, a number, and a special character (e.g. ! @ # $).

Confirm Password *

Your application will be reviewed by the pharmacy team. You will be notified by email once a decision has been made.

Acne

Asthma

Contraceptives

Eczema and Dermatitis

Erectile Dysfunction

Hay Fever

Menopause

Shingles

Urinary Tract Infection (UTI)

Ear Wax Removal

Private Blood Tests