The Green Surgery, 1B The Green, Twickenham, TW2 5TU ------- Fir Road Surgery, 50 Fir Road, Hanworth, TW13 6UJ
Telephone: The Green Surgery: 0208 894 6870 ------------------------Fir Road Surgery: 0208 898 0253
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The Electronic Prescription Service (EPS) is an NHS service. It gives you the chance to change how your GP sends your prescription to the place you choose to get your medicines or appliances from.
What does this mean for you?
Is this service right for you?
Yes, if you have a stable condition and you:
It may not be, if you
How can you use EPS?
You need to choose a place for your GP practice to electronically send your prescription to. This is called nomination.
You can choose:
Ask any pharmacy or dispensing appliance contractor that offers EPS, or your GP practice to add your nomination for you. You don’t need a computer to do this.
Can I change my nomination or cancel it and get a paper prescription?
Yes you can. If you don’t want your prescription to be sent electronically tell your GP. If you want to change or cancel your nomination speak to any pharmacist or dispensing appliance contractor that offers EPS, or your GP practice. Tell them before your next prescription is due or your prescription may be sent to the wrong place.
Is EPS reliable, secure and confidential?
Yes. Your electronic prescription will be seen by the same people in GP practices, pharmacies and NHS prescription payment and fraud agencies, that see your paper prescription now.
Sometimes dispensers may see that you have nominated another dispenser. For example, if you forget who you have nominated and ask them to check or, if you have nominated more than one dispenser.
For more information visit www.hscic.gov.uk/epspatients, your pharmacy or GP practice.
Patient name ………………………………………………………………………………………………
Address ……………………………………………………………………………………………………… …………………………………………………………………………………………………………………… Telephone Number…..………………………………………………………………………………… DOB ………………….……………………………………………………………………………………….. NHS Number ……………………………………………………………………………………………… |
I am the patient named above. Nomination has been explained to me by staff at my GP practice/community pharmacy/appliance contractor. I have also been given a leaflet about this. I have read the Nomination Leaflet and understand what I have to do. I will inform the pharmacy that I have nominated them.
I am the patient’s parent, guardian, carer, patient advocate (delete as appropriate) and nominating on behalf of the above named patient NAME: ADDRESS: |
Name and address of nominated dispenser: |
Patient/Patient Representative Signature:
…………………………………………………………………………Patient/Patient Representative Phone Number: …………………….…………………………………………Patient Telephone Numbers : Home: Mobile: Work: Patient email address: ………………………………………………………………….……………………………. Staff Signature: ………………………………………………………………….……………………………. Date………………………………………………………………….……………………………. |