Consent for Electronic Repeat Dispensing (eRD)

Would you like your repeat medications to be issued via Electronic Repeat Dispensing?

Visit our website for more information.

Please complete this form to give your consent to switch to eRD.

Last Updated: 01/07/2024

  • Your details

    If you do give consent for eRD you do not need to complete this form.

    I consent
    What is your DOB?
    For example, 15 3 1984
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